MALCOLM AJ DUGLISS PA-C NPI 1336296193

NPI Information

  • NPI: 1336296193
  • Provider Name: MALCOLM AJ DUGLISS, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1802 YAKIMA AVE STE 102
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 272-7777

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NPI Details

Malcolm Aj Dugliss, PA-C is a surgical physician assistant in Tacoma, WA with 26 years of experience. Malcolm Aj Dugliss, PA-C NPI is 1336296193. 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:

1802 YAKIMA AVE STE 102
TACOMA, WA
ZIP 98405-303
Phone: (253) 272-7777
Fax: (253) 426-4142

The NPI 1336296193 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 1/4/2007 and was last updated on 8/14/2024.

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
1363A00000XPhysician AssistantPA61397889WASHINGTONNo
2363AS0400XPhysician AssistantSurgical103305NORTH CAROLINANo
3363AS0400XPhysician AssistantSurgicalPA61397889WASHINGTONYes

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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