Individual
MR. SAMUEL CHARLES RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
103 WASHBURN PL, LOPEZ ISLAND, WA 98261-5528
(206) 222-2222
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.60824723
WA
363A00000X
Physician Assistant
Primary
PA60824723
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2095287
—
WA
01
—
443554
WA LABOR & INDUSTRIES
WA
Enumeration date
01/04/2018
Last updated
06/30/2026
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