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MR. NICHOLAS PORTALSKI PA-C NPI 1922546027


NPI Information

NPI: 1922546027
Provider Name: MR. NICHOLAS PORTALSKI, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

PECOS Registration: Yes

Address:
1007 39TH AVE SE
PUYALLUP, WA
ZIP 98374
Phone: (534) 457-1002
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MR. Nicholas Portalski, PA-C is a physician assistant in Puyallup, WA with 8 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Nicholas Portalski, PA-C NPI is 1922546027. 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:

1007 39TH AVE SE
PUYALLUP, WA
ZIP 98374-192
Phone: (534) 457-1002

The NPI 1922546027 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 5/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA-1472IDAHONo
2363A00000XPhysician AssistantPA60892458WASHINGTONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.