GRETCHEN T WAMBACH PA-C
NPI 1174555932
Physician Assistant - Medical in Sequim, WA

Active since July 06, 2006
565 EUREKA WAY, SEQUIM, WA 98382(360) 582-0808(360) 683-5678 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gretchen T Wambach Pa-c NPPES

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

GRETCHEN T WAMBACH PA-C (NPI 1174555932) is an individual medical provider in Sequim, Washington, licensed in Washington (PA10004382) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174555932
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGRETCHEN T WAMBACHCredential: PA-C
Location Address565 EUREKA WAYSequim, WA 98382-5074
Mailing Address565 Eureka WaySequim, WA 98382-5074 · (360) 582-0808
Fax(360) 683-5678
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 12, 2011
NPI 1174555932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA10004382
565 EUREKA WAY, Sequim, WA 98382

Other Identifiers 7

OtherAB38563WA · Medicare Id
Medicare UPINP90749WA
Other6999WAWA · Regence
Other800016698WA · Premera Blue Cross
Other80001669803WA · Kps
Medicare PIN8864956WA
Medicaid8358285WA

Other Providers at the Same Location NPPES 4

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

Dermatology
565 EUREKA WAY
SEQUIM, WA 98382
Dermatology
565 EUREKA WAY
SEQUIM, WA 98382
Dermatology
565 EUREKA WAY
SEQUIM, WA 98382
Dermatology (MOHS-Micrographic Surgery)
565 EUREKA WAY
SEQUIM, WA 98382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Wambach's NPI number?

The NPI number for Gretchen Wambach is 1174555932. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Gretchen Wambach located?

Gretchen Wambach practices at 565 Eureka Way, Sequim, WA 98382. The listed phone number is (360) 582-0808.

What is Gretchen Wambach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gretchen Wambach was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.