Individual
BIVOR SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APA
Contact information
Practice address
9040 A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-5505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA61668377
WA
Other
Enumeration date
09/10/2018
Last updated
02/17/2026
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