IndividualActive
Tina Malm, PA
NPI 1003041898 · Physician Assistant · Everett, WA
Provider details
- NPI number
- 1003041898
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0110002949 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2205 Broadway
Everett, WA 98201-2321
Phone: (888) 227-3312
Fax: (425) 259-8630
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2928
Portland, OR 97208-2928
Additional practice locations (1)
- 1668 US-51 NPonchatoula, LA 70454Phone: (985) 401-4022Fax: (985) 401-4023
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.