Individual
DAXSON MOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1499 SE TECH CENTER PL STE 190, VANCOUVER, WA 98683-5529
(425) 507-7848
Mailing address
16420 SE MCGILLIVRAY BLVD STE 103-253, VANCOUVER, WA 98683-3461
(360) 831-2276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA184998
OR
Other
Enumeration date
08/23/2017
Last updated
05/31/2023
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