Individual
ISMAEL C. VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6101 SUMMITVIEW AVE STE 200, YAKIMA, WA 98908-3028
(509) 902-8857
(509) 902-8855
Mailing address
6101 SUMMITVIEW AVE STE 200, YAKIMA, WA 98908-3028
(509) 253-9423
(877) 569-3076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003746
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207100
LABOR & INDUSTRIES
WA
05
—
8349557
—
WA
01
—
8918VA
REGENCE BLUE SHIELD
WA
01
—
8940983
CRIME VICTIMS COMP
WA
01
—
P00315063
RAILROAD MEDICARE
—
Enumeration date
06/14/2006
Last updated
01/24/2024
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