MICHAELA ETHERTON PA-S NPI 1619586153

NPI Information

  • NPI: 1619586153
  • Provider Name: MICHAELA ETHERTON, PA-S
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 NE MOTHER JOSEPH PL STE 300
    VANCOUVER, WA
    ZIP 98664
  • Phone: (360) 254-6161

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NPI Details

Michaela Etherton, PA-S is a surgical physician assistant in Vancouver, WA with 5 years of experience. Michaela Etherton, PA-S NPI is 1619586153. 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:

200 NE MOTHER JOSEPH PL STE 300
VANCOUVER, WA
ZIP 98664-296
Phone: (360) 254-6161
Fax: (360) 803-0847

The NPI 1619586153 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 7/30/2020 and was last updated on 1/16/2026.

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 AssistantPA61229907WASHINGTONNo
2363AS0400XPhysician AssistantSurgicalPA61229907WASHINGTONYes

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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