| Mrs Tina Faith Derr, PA-C | |
|
1012 South Third Street, Columbia Family Clinic, Dayton, WA 99328 | |
| (509) 382-3200 | |
| (509) 382-2748 |
| Full Name | Mrs Tina Faith Derr |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1012 South Third Street, Dayton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093797961 | NPI | - | NPPES |
| PA2004-0030 | Other | NM | PA LICENSE |
| 83320253 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2004-0030 (New Mexico) | Secondary |
| 363A00000X | Physician Assistant | PA60426271 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tina Faith Derr, PA-C 1012 South Third Street, Dayton, WA 99328 Ph: (509) 382-2531 | Mrs Tina Faith Derr, PA-C 1012 South Third Street, Columbia Family Clinic, Dayton, WA 99328 Ph: (509) 382-3200 |
Kim Irene Emery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1012 South Third Street, Dayton, WA 99328 Phone: 253-333-9000 | |
Richard G Edison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1012 S 3rd St, Dayton, WA 99328 Phone: 509-382-2531 Fax: 509-382-3205 | |
Danny L Mingus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1012 South Third Street, Dayton, WA 99328 Phone: 509-382-3200 Fax: 509-382-2748 |