JASON DOYLE RUNDELL PA-C NPI 1083665699

NPI Information

NPI: 1083665699
Provider Name: JASON DOYLE RUNDELL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
MADIGAN ARMY MEDICAL CENTER
9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431
Phone: (253) 968-1250
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Jason Doyle Rundell, PA-C is a medical physician assistant in Tacoma, WA. Jason Doyle Rundell, PA-C NPI is 1083665699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CENTER
9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431
Phone: (253) 968-1250
Fax: (253) 968-3190

The enumeration date for this NPI number is 5/16/2006 and was last updated on 3/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10003162	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8358210	MEDICAID	WASHINGTON
2	8941377	OTHER	WASHINGTON	L&I

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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