MS. DONNA M LANDRY PHYSICIAN ASSISTANT NPI 1366523490

NPI Information

  • NPI: 1366523490
  • Provider Name: MS. DONNA M LANDRY, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1603 COOPER POINT RD NW
    OLYMPIA, WA
    ZIP 98502
  • Phone: (360) 753-0396

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NPI Details

MS. Donna M Landry, PHYSICIAN ASSISTANT is a medical physician assistant in Olympia, WA. MS. Donna M Landry, PHYSICIAN ASSISTANT NPI is 1366523490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1603 COOPER POINT RD NW
OLYMPIA, WA
ZIP 98502-325
Phone: (360) 753-0396
Fax: (360) 539-7937

The NPI 1366523490 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 10/17/2006 and was last updated on 3/7/2023.

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 AssistantMedicalPA10002558WASHINGTONYes

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
15617199OTHERAETNA NON HMO
2OA10000203OTHERWASH ST LICENSE
33568326OTHERAETNA HMO
4O198234OTHERLABOR & INDUSTRIES
52007LAOTHERREGENCE
6A1820OTHERPREMERA BC

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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