IndividualActive
Amanda Lugo, PAC
NPI 1780062034 · Surgical Physician Assistant · Enumclaw, WA
Provider details
- NPI number
- 1780062034
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA70012203 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2820 Griffin Ave Ste 210
Enumclaw, WA 98022-2373
Phone: (360) 825-7500
Fax: (360) 825-3370
Approximate (ZIP-level) locationGet directions
Mailing address
2820 Griffin Ave Ste 210
Enumclaw, WA 98022-2373
Registry dates
- Enumerated
- 2015-05-07
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.