MICHAEL LEE PA-C, MPAS
NPI 1174167423
Physician Assistant in Tacoma, WA

Active since October 30, 2019
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Jun 5, 2024, Apr 22, 2021 and 1 more (4 updates tracked since 2019).

About Michael Lee Pa-c, Mpas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL LEE PA-C, MPAS (NPI 1174167423) is an individual physician assistant in Tacoma, Washington and active in the NPI registry since October 2019. He maintains a secondary practice location in Fort Campbell.

NPPES Registry Identity

NPI1174167423
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL LEECredential: PA-C, MPAS
Location Address9040 JACKSON AVETacoma, WA 98431-5318
Mailing Address5387 Century Pl NeLacey, WA 98516-5457
Sole ProprietorNo
Enumeration DateOctober 30, 2019
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1174167423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9040 JACKSON AVE, Tacoma, WA 98431

Secondary Practice Location 1

Location 1650 Joel DrFort Campbell, KY 42223-5318 · Phone (270) 798-8440

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
9040 JACKSON AVE
TACOMA, WA 98431
Physician Assistant
9040 JACKSON AVE, MAMC FAMILY MED DEPT
TACOMA, WA 98431
Nurse Practitioner (Family)
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Practitioner (Neonatal)
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Practitioner (Adult Health)
9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER WTB CLINIC
TACOMA, WA 98431
Registered Nurse (Psychiatric/Mental Health, Adult)
9040 JACKSON AVE, MCHJ-CLQ-C
TACOMA, WA 98431
Counselor (Mental Health)
9040 JACKSON AVE
TACOMA, WA 98431
Specialist
9040 JACKSON AVE
TACOMA, WA 98431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174167423, enumerated as an "individual" on October 30, 2019.

The provider is located at 9040 JACKSON AVE TACOMA, WA 98431 and the phone number is (253) 968-2252.

Physician Assistant with taxonomy code 363A00000X.