Individual
JASON A ROMRIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-684
ID
363A00000X
Physician Assistant
PA10004260
WA
363AS0400X
Surgical Physician Assistant
PA-684
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010145420
REGENCE BLUE SHIELD OF ID
ID
01
—
0157290
DEPT OF LABOR & INDUSTRIE
WA
01
—
20003823
MEDICARE PTAN
ID
01
—
23795
GROUP HEALTH NW
WA
01
—
379109600
OWCP
WA
05
—
807036200
—
ID
05
—
8387334
—
WA
01
—
8893RO
ASURIS NW HEATLH
WA
01
—
8903289
CRIME VICTIMS
WA
01
—
970024321
RR MEDICARE
WA
01
—
K6484
BLUE CROSS OF IDAHO
ID
Enumeration date
03/15/2006
Last updated
12/07/2015
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