IndividualActive
Andrew Musgrave, PA-C
NPI 1154165249 · Medical Physician Assistant · Longview, WA
Provider details
- NPI number
- 1154165249
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA.PA.70046904 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1615 Delaware St
Longview, WA 98632-2367
Phone: (855) 333-6947
Approximate (ZIP-level) locationGet directions
Mailing address
1945 Nw Raleigh St
Portland, OR 97209-1714
Registry dates
- Enumerated
- 2024-06-24
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.