Samuel Charles Rich, PA-C Valid NPI
Individual provider · Physician Assistant · Lopez Island, WA
- NPI
- 1265949804
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA60824723 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-01-04
- Last updated
- 2023-10-10
Practice location
103 Washburn Pl
Lopez Island, WA 98261-5528
(206) 520-5000