NPIMap

Individual provider Active NPI

Christopher C McGlothlen, PA-C

  • Physician Assistant
  • Grand Coulee, WA
National Provider Identifier
1861582744
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10003617 Issued in WA
Practice address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone
(509) 633-1753
Fax
(509) 633-1933
NPI assigned
Oct 13, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10003617 WA Primary

Addresses

Primary practice location

411 Fortuyn Rd
Grand Coulee, WA 99133-8718

Mailing address

10 Nicholls St
Davenport, WA 99122-9729
Phone (509) 725-7101

Other practice location 1

10 Nicholls St
Davenport, WA 99122-9729
Phone (509) 725-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000558 WA Practitioner - Physician Assistant 7719055433 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Aug 19, 2017 Accepting new patients
Washington Emergency Physician Partners PLLC Physician Assistant CurrentSince Jan 5, 2016 Accepting new patients
Lincoln County Hospital District 3 CurrentSince Apr 1, 2021 Accepting new patients
Washington Emergency Physician Partners, PLLC CurrentSince Jan 5, 2016 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Aug 19, 2017 Accepting new patients
Lincoln County Hospital District #3 CurrentSince Apr 1, 2021 Accepting new patients
Lincoln County Hospital District #3 CurrentSince Apr 1, 2021 Accepting new patients

Locations

10 Nicholls St
Davenport, WA 99122
Phone (509) 725-7101

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Interoperability endpoints

  • Direct secure messaging: mcglotc@cmccares.cernerdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1861582744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NICHOLLS ST",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991229729",
            "telephone_number": "509-725-7101",
            "fax_number": "509-725-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1753",
            "fax_number": "509-633-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Nicholls St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "WA",
            "postal_code": "991229729",
            "country_code": "US",
            "telephone_number": "509-725-7101",
            "fax_number": "509-725-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGLOTHLEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Coulee, WA

Sources for this page

Verify at the official NPI Registry.