Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ty C. Gulstrom, PA- C

Physician Assistant in Mount Vernon, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558306373

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Registry record

Entity type Individual (Type 1)

Name Ty C. Gulstrom

Credential PA- C

Sex Male

Practice address 1400 E. Kincaid Street, Mount Vernon, WA, 98274

Phone (360) 428-6434

Fax (360) 848-4233

Enumeration date Jun 17, 2006

Last updated in NPPES Feb 18, 2015

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License PA10004348 (WA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10004348 (WA) Primary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10004348 (WA) Secondary

Other identifiers

Identifier	Type	State	Issuer
8386484	Medicaid	WA	-
3479GU	Other	WA	BSWA
605960012	Other	-	USDLAB
0216864	Other	WA	LIWA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1558306373 active?

Yes, as of the latest NPPES snapshot, NPI 1558306373 is active (record last updated 2015-02-18).

How do I verify Ty Gulstrom's NPI record?

Cross-check NPI 1558306373 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-18.