PAUL DAVID MORTLOCK PA-C NPI 1376506733

NPI Information

  • NPI: 1376506733
  • Provider Name: PAUL DAVID MORTLOCK, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 400 NE MOTHER JOSEPH PL
    VANCOUVER, WA
    ZIP 98664
  • Phone: (360) 892-9664

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NPI Details

Paul David Mortlock, PA-C is a medical physician assistant in Vancouver, WA with 22 years of experience. Paul David Mortlock, PA-C NPI is 1376506733. 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:

400 NE MOTHER JOSEPH PL
VANCOUVER, WA
ZIP 98664-200
Phone: (360) 892-9664
Fax: (360) 892-9667

The NPI 1376506733 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Fluoroscopic guidance for spine or back muscle injection (HCPCS:77003)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • Injection of contrast for imaging of lower spinal canal (HCPCS:62284)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Needle biopsy of liver through skin (HCPCS:47000)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)

The enumeration date for this NPI number is 4/7/2006 and was last updated on 8/29/2024.

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 AssistantPA10004695WASHINGTONNo
2363AM0700XPhysician AssistantMedicalPA10004695WASHINGTONYes

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
1807410400MEDICAIDIDAHO
28418188MEDICAIDWASHINGTON

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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