| Sydney Fountain, PA-C | |
| 
					1000 S Scheuber Rd, Centralia, WA 98531-8877  | |
| (360) 330-8950 | |
| (360) 330-8955 | 
| Full Name | Sydney Fountain | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 1000 S Scheuber Rd, Centralia, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356050744 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61514013 (Washington) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sydney Fountain, PA-C Po Box 3360, Portland, OR 97208-3360 Ph: () -  | Sydney Fountain, PA-C 1000 S Scheuber Rd, Centralia, WA 98531-8877 Ph: (360) 330-8950  | 
Jennifer Reuter,  Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-2803  | |
Joel M Deming, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1740 Cooks Hill Rd, Centralia, WA 98531 Phone: 503-362-8385 Fax: 503-362-8435  | |
Justin Charles Cooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 Cooks Hill Rd, Suite F, Centralia, WA 98531 Phone: 360-827-6700  | |
Kate Emily Stutz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-2889  | |
Mr. Brian Covington, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 914 S. Scheuber Road, Centralia, WA 98531 Phone: 360-736-2803 Fax: 559-459-3719  | |
Eric Jahn,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 914 S Scheuber Rd, 360) 736-2803, Centralia, WA 98531 Phone: 360-736-2803  |