ERIN DOHERTY VAN ALLEN PA-C NPI 1558325167

NPI Information

  • NPI: 1558325167
  • Provider Name: ERIN DOHERTY VAN ALLEN, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 E KINCAID ST
    MOUNT VERNON, WA
    ZIP 98274
  • Phone: (360) 428-2586

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NPI Details

Erin Doherty Van Allen, PA-C is a surgical physician assistant in Mount Vernon, WA with 25 years of experience. Erin Doherty Van Allen, PA-C NPI is 1558325167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1400 E KINCAID ST
MOUNT VERNON, WA
ZIP 98274-127
Phone: (360) 428-2586
Fax: (360) 428-6470

The NPI 1558325167 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 4/12/2006 and was last updated on 9/22/2015.

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
1363AS0400XPhysician AssistantSurgicalPA10004559WASHINGTONYes

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
11013164MEDICAIDWASHINGTON
2A05521MEDICARE UPINWASHINGTON
3G89010902MEDICARE PINWASHINGTON

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: 3/30/2025

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