Lisa Birley, PAC
Individual provider Active NPI Physician Assistant · Chehalis, WA
NPI 1831284058 · NPPES record last updated Dec 16, 2015
Key facts
- NPI
- 1831284058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA10004873 (WA)
- Practice address
- 370 S Market Blvd
Chehalis Childrens Clinic
Chehalis, WA 98532 - Phone
- (360) 748-6693
- Fax
- (360) 748-3619
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004873 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004873 | WA | Yes |
Addresses
Primary practice location
370 S Market Blvd
Chehalis Childrens Clinic
Chehalis, WA 98532
Mailing address
370 S Market Blvd
Chehalis, WA 98532
Phone (360) 748-6693
Other providers in Chehalis, WA
- John David Bayse
- Janelle N Beck
- Natalie Bennett
- Clyde Daniel Berry
- Kathleen Suanne Bieker
- Don P. Bischko
- Shiwani Bista
- Tawnee Blackburn
- Chelcie Marie Blackmun
- Michael Vernon Blankinship
All providers in Chehalis, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.