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MR. CHARLES TIFFANY BARRET P.A.-C. NPI 1821113119


NPI Information

NPI: 1821113119
Provider Name: MR. CHARLES TIFFANY BARRET, P.A.-C.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584
Phone: (360) 427-9006
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MR. Charles Tiffany Barret, P.A.-C. is a medical physician assistant in Shelton, WA. MR. Charles Tiffany Barret, P.A.-C. NPI is 1821113119. 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:

90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584-216
Phone: (360) 427-9006
Fax: (360) 427-1951

The enumeration date for this NPI number is 3/19/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA10000621WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18601197MEDICAIDWASHINGTON
2S80217MEDICARE UPINWASHINGTON
3AB07776MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.