IndividualActive
Dominic Dephillips
NPI 1780353813 · Physician Assistant · Chelan, WA
Provider details
- NPI number
- 1780353813
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone: (509) 682-6000
Approximate (ZIP-level) locationGet directions
Mailing address
600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Additional practice locations (1)
- 600 Orondo Ave Ste 1Wenatchee, WA 98801-2800Phone: (509) 662-6000
Registry dates
- Enumerated
- 2021-09-11
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.