NPI 1841308384 · live from the CMS NPI Registry
Jason Paul Etzel, MD
Internal Medicine, Gastroenterology in Vancouver, WA. National Provider Identifier 1841308384, active.
NPI record
| NPI | 1841308384 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 700 Ne 87th Ave, Vancouver, WA 98664 |
| Practice phone | 360-882-2778 |
| Enumerated | August 25, 2006 |
| Last updated | June 28, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | MD29167 (OR) |
| Internal Medicine | 207R00000X | MD00048377 (WA) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD00048377 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.