GORDON RAY WASHINGTON PA NPI 1205990504

NPI Information

  • NPI: 1205990504
  • Provider Name: GORDON RAY WASHINGTON, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: HHSC STB
    UNIT #15110
    CP RED CLOUD, REPUBLIC OF KOREA
    ZIP APO A
  • Phone: (315) 732-7379

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NPI Details

Gordon Ray Washington, PA is a medical physician assistant in Cp Red Cloud, REPUBLIC OF KOREA. Gordon Ray Washington, PA NPI is 1205990504. 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:

HHSC STB
UNIT #15110
CP RED CLOUD, REPUBLIC OF KOREA
ZIP APO A- 96258
Phone: (315) 732-7379

The enumeration date for this NPI number is 12/20/2006 and was last updated on 7/8/2007.

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
1363AM0700XPhysician AssistantMedical1034659COLORADOYes

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: 11/21/2025

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