PHYLLIS L. BARKS (PA) – Medical Physician Assistant, NPI 1033543855

Medical Physician Assistant

PHYLLIS L. BARKS (PA) is a healthcare provider. based in Tumwater, Washington. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. 60405212 (WA). The NPI Number for PHYLLIS L. BARKS (PA) is 1033543855

Main info

Female

Sole Proprietor

46 Years Of Experience

Accepts Medicare Assignment

Name

PHYLLIS L. BARKS (PA)

NPI

1033543855

Phone

(360) 537-6450

Address

260 LEE ST SW

Enumeration Date

28 August 2013

Last Update Date

16 May 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3606213069

Graduation Year

1980 (46 years ago)

PAC ID

8527385996

Group Practice PAC ID

6103010392

Professional Enrollment ID

I20150323002668

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness75

Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for PHYLLIS L. BARKS (PA)

260 LEE ST SW
TUMWATER, WA 985014403
Phone: (360) 537-6450
Fax: (360) 537-6451
Type: Mailing
1006 N H ST FL 4
ABERDEEN, WA 985202521
Phone: (360) 537-6450
Fax: (360) 537-6451
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6103010392View full group profile

Name	Specialty	State
BRUCE A WING (PA-C)	Physician Assistant	OR
SHINSUNG YOOK	Physician Assistant	WA
DR. MEHRDAD RAZAVI (M.D.)	Sleep Medicine	CA

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Frequently asked questions

What federal number belongs to PHYLLIS L. BARKS (PA)?

The federal identifier for PHYLLIS L. BARKS (PA) is NPI 1033543855.

Is PHYLLIS L. BARKS (PA)'s NPI currently valid?

The extract we use shows PHYLLIS L. BARKS (PA) as active.

Does PHYLLIS L. BARKS (PA) list a primary specialty?

If you are matching referrals, note Medical Physician Assistant for PHYLLIS L. BARKS (PA). Clinical services aligned with this taxonomy classification.

Where does public data place PHYLLIS L. BARKS (PA)?

The snapshot lists Tumwater, Washington for PHYLLIS L. BARKS (PA); download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.