Jon Mortensen, PAC
NPI 1407930456 belongs to Jon Mortensen, PAC, a medical physician assistant with a practice location in Lakewood, WA. The NPI was issued on October 25, 2006, and the record was last updated in NPPES on June 14, 2012.
This record hasn't been updated in NPPES since 2012. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10005073 (WA) |
Practice location
Community Health Care - Lakewood Clinic
Lakewood, WA 98499
Local context
Active NPPES records list 273 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 154 of them within 10 miles.
The same primary taxonomy is listed by 1,089 in Washington and 40,084 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Jon Derik Mortensen
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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