Individual
SUSAN GHYSELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 827-8811
(360) 330-8969
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 827-8811
(360) 330-8969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA168009
OR
363A00000X
Physician Assistant
PA19923
CA
363A00000X
Physician Assistant
Primary
PA60694076
WA
Other
Enumeration date
09/25/2008
Last updated
07/15/2026
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