Individual
MR. JASON NATHANIEL SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
727 N TOWER AVE, CENTRALIA, WA 98531-4754
(360) 557-2027
Mailing address
16838 PLEASANT BEACH DR SE, YELM, WA 98597-8561
(360) 894-8953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60807187
WA
Other
Enumeration date
05/14/2016
Last updated
12/09/2024
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