Provider Demographics
NPI:1194770206
Name:CURRAN, DAVID WILLIAM (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WILLIAM
Last Name:CURRAN
Suffix:
Gender:M
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 1:305 SE CHKALOV DR STE 170
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5292
Mailing Address - Country:US
Mailing Address - Phone:360-799-3912
Mailing Address - Fax:
Practice Address - Street 1:305 SE CHKALOV DR STE 170
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5292
Practice Address - Country:US
Practice Address - Phone:360-799-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1566363A00000X
WAPA60600205363AM0700X
ORPA180010363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO970028333OtherRAILROAD
CO98428870Medicaid
CO970028333OtherRAILROAD
COS91909Medicare UPIN