Provider Demographics
NPI:1861533937
Name:BECHTEL, WENDY J (PA-C)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:J
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 8TH ST SW
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-5918
Mailing Address - Country:US
Mailing Address - Phone:253-600-1014
Mailing Address - Fax:
Practice Address - Street 1:520 8TH ST SW
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-5918
Practice Address - Country:US
Practice Address - Phone:253-600-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003973363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA394022OtherWA STATE LABOR AND INDUSTRIES
WAP31092Medicare UPIN