Shawn Erik Tedford, PA-C
Physician Assistant · Bremerton, WA
Practice location
1225 Campbell Way Ste 201Bremerton, WA 98310-3323
- Phone
- (360) 377-1355
NPI record
- NPI
- 1063449072
- Entity type
- Individual (Type 1)
- Enumeration date
- June 26, 2006
- Last updated
- March 7, 2023
- Certified
- January 18, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA10003756 | WA |
| Physician Assistant | 363A00000X |
PA2007-0004 | NM |
| Medical Physician Assistant | 363AM0700X |
PA2007-0004 | NM |
| Surgical Physician Assistant | 363AS0400X |
PA2007-0004 | NM |
About Shawn Tedford
Shawn Erik Tedford, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1225 Campbell Way Ste 201, Bremerton, WA 98310-3323. The NPI number 1063449072 was assigned on June 26, 2006 and the record was last updated on March 7, 2023.
Shawn Tedford lists 4 licenses in the registry: #PA10003756 (WA) for Physician Assistant; #PA2007-0004 (NM) for Physician Assistant; #PA2007-0004 (NM) for Medical Physician Assistant; #PA2007-0004 (NM) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Shawn Erik Tedford, PA-C?
The NPI number is 1063449072.
What is the phone number of Shawn Tedford?
The phone number listed for the practice location is (360) 377-1355.
Where is Shawn Tedford located?
1225 Campbell Way Ste 201, Bremerton, WA 98310-3323.
What is the taxonomy code for Shawn Tedford?
The primary taxonomy code is 363A00000X – Physician Assistant; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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