Individual
NILS GIBSON SCHOULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5580 NORDIC WAY, FERNDALE, WA 98248-5104
(360) 384-1511
(360) 384-5758
Mailing address
5580 NORDIC WAY, FERNDALE, WA 98248-5104
(360) 384-1511
(360) 384-5758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60714204
WA
Other
Enumeration date
02/21/2017
Last updated
08/21/2024
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