IndividualActive
Abraham Velasco Bustamante, PA
NPI 1669293908 · Medical Physician Assistant · Omak, WA
Provider details
- NPI number
- 1669293908
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1003 Koala Dr
Omak, WA 98841-9247
Phone: (800) 660-2129
Approximate (ZIP-level) locationGet directions
Mailing address
90 Golden Rd
Oroville, WA 98844-9766
Registry dates
- Enumerated
- 2024-10-21
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.