Individual
MICHAEL JOSEPH LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2805 NE 129TH ST, VANCOUVER, WA 98686-3324
(360) 356-1890
Mailing address
729 SUNRISE AVE STE 602, ROSEVILLE, CA 95661-4542
(916) 953-7571
(916) 771-8515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014701
NY
363A00000X
Physician Assistant
21632
CA
363A00000X
Physician Assistant
Primary
PA61240821
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2213364
—
WA
Enumeration date
06/09/2011
Last updated
03/05/2026
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