Active NPI 1659593754 Individual Practitioner Male Practitioner

Dr. Kristan David Guenterberg , MD

Surgery • Silverdale, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kristan Guenterberg, MD is a certified Surgery practicing in Silverdale, WA. With approximately 21 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2005, Dr. Guenterberg delivers high-quality medical care to the local community at 9927 MICKELBERRY RD NW.

Dr. Guenterberg is affiliated with Kitsap General Surgery Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9927 Mickelberry Rd Nw
Suite 121

Silverdale, WA 983839195

Telephone 3606131335

Fax 3606131329

Associated Practice Facility / Clinic

🏢 Pain Consultants, Pllc Facility NPI 1922089085

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Silverdale, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -2.1 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

13 Specialists

Practicing in Silverdale, WA (818 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guenterberg (21 Years) 21 Yrs

Silverdale Specialty Average (23.1 Years) 23.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	54	$127.00	$90.70
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	85	84	$106.00	$5.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$301.00	$164.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$245.00	$127.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$198.00	$110.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	44	43	$1017.00	$244.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	23	$78.00	$48.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$76.00	$56.53
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$134.00	$72.16
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$760.00	$177.71
46600 Diagnostic examination of the anus using an endoscope	21	21	$161.00	$119.07
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$938.00	$312.20
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$760.00	$173.46
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	20	20	$106.00	$11.73
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$168.00	$17.33
76937 Ultrasonic guidance for blood vessel access	19	19	$69.00	$13.40
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$33.00	$6.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1600.00	$699.40
99284 Emergency department visit with moderate level of medical decision making	11	11	$238.00	$116.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	66	$127.00	$87.33
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	82	82	$106.00	$5.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	48	48	$1017.00	$241.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	28	$78.00	$48.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$301.00	$162.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$198.00	$111.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$245.00	$127.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$76.00	$56.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$195.00	$123.47
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$760.00	$170.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$358.00	$170.67
45380 Biopsy of large bowel using an endoscope	17	17	$903.00	$147.02
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	17	17	$33.00	$6.44
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$134.00	$72.35
46600 Diagnostic examination of the anus using an endoscope	16	13	$161.00	$122.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$378.00	$206.35
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$938.00	$323.35
76937 Ultrasonic guidance for blood vessel access	12	12	$69.00	$13.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$168.00	$17.51
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$708.00	$361.09
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1595.45	$658.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromise	155	110	$450.00	$150.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$198.00	$112.02
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	105	104	$106.00	$5.35
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$127.00	$90.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	52	$1017.00	$247.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$301.00	$167.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	20	$78.00	$38.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$245.00	$133.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$195.00	$125.64
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$134.00	$73.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	26	$910.21	$313.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	26	25	$168.00	$18.31
76937 Ultrasonic guidance for blood vessel access	26	25	$69.00	$13.64
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$760.00	$175.06
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	23	22	$106.00	$12.04
45380 Biopsy of large bowel using an endoscope	23	22	$903.00	$126.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$45.00	$23.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$760.00	$165.42
49324 Insertion of abdominal cavity catheter using an endoscope	14	14	$708.00	$317.39
46600 Diagnostic examination of the anus using an endoscope	14	12	$161.00	$126.88
45381 Injection beneath lining of large bowel using a flexible endoscope	12	11	$878.00	$61.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
91301 Sarscov2 vac 100mcg/0.5ml im	214	163	$0.10	$0.01
0011A Adm sarscov2 100mcg/0.5ml1st	147	147	$40.00	$21.39
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	104	100	$106.00	$5.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	27	$78.00	$38.57
0012A Adm sarscov2 100mcg/0.5ml2nd	67	67	$40.00	$33.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	50	49	$1017.00	$257.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$198.00	$114.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$301.00	$171.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$245.00	$136.46
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$127.00	$90.18
45380 Biopsy of large bowel using an endoscope	28	28	$903.00	$123.28
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$134.00	$74.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	22	$106.00	$12.59
76937 Ultrasonic guidance for blood vessel access	19	19	$69.00	$14.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$898.51	$313.20
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$168.00	$18.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$665.00	$125.73
49324 Insertion of abdominal cavity catheter using an endoscope	17	17	$708.00	$325.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$195.00	$127.11
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$760.00	$182.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$760.00	$163.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$76.00	$57.61
91300 Sarscov2 vac 30mcg/0.3ml im	14	11	$0.09	$0.01
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	12	12	$40.00	$19.86
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1590.00	$730.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	87	85	$106.00	$5.69
99213 Established patient office or other outpatient visit, typically 15 minutes	76	56	$127.00	$76.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$198.00	$109.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	46	46	$1017.00	$264.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	25	$78.00	$39.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$301.00	$167.75
45380 Biopsy of large bowel using an endoscope	28	28	$903.00	$118.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	20	$76.00	$46.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$195.00	$108.18
76937 Ultrasonic guidance for blood vessel access	25	25	$69.00	$14.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	24	$168.00	$19.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$245.00	$140.33
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$938.00	$348.81
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	20	$106.00	$12.60
49324 Insertion of abdominal cavity catheter using an endoscope	17	17	$708.00	$343.82
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$33.00	$8.76
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$134.00	$77.33
49650 Repair of groin hernia using an endoscope	13	13	$872.31	$480.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$665.00	$104.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$358.00	$205.85
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$760.00	$167.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	69	$127.00	$74.57
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	91	89	$106.00	$5.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	37	$78.00	$39.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$198.00	$109.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$195.00	$107.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$301.00	$166.02
45380 Biopsy of large bowel using an endoscope	47	46	$903.00	$110.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	46	$1017.00	$262.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$245.00	$137.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	27	$76.00	$45.70
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	25	$33.00	$8.66
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$134.00	$77.27
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$168.00	$18.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$139.00	$73.32
76937 Ultrasonic guidance for blood vessel access	17	17	$69.00	$14.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$665.00	$127.51
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1159.33	$346.87
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	13	13	$106.00	$12.50
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1590.00	$736.46
99238 Hospital discharge day management, 30 minutes or less	12	11	$141.00	$73.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$358.00	$203.96
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$760.00	$192.61
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$708.00	$343.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$198.00	$108.26
99213 Established patient office or other outpatient visit, typically 15 minutes	88	68	$127.00	$72.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	61	$195.00	$105.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$301.00	$162.77
45380 Biopsy of large bowel using an endoscope	39	39	$903.00	$166.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	17	$78.00	$39.23
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	28	28	$33.00	$8.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	15	$76.00	$44.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$245.00	$136.83
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$134.00	$75.31
49324 Insertion of abdominal cavity catheter using an endoscope	19	19	$708.00	$332.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$139.00	$72.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$358.00	$203.02
49650 Repair of groin hernia using an endoscope	15	15	$907.20	$464.53
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$760.00	$164.33
46600 Diagnostic examination of the anus using an endoscope	14	14	$161.00	$85.64
19301 Partial removal of breast	13	13	$1072.06	$642.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$263.00	$145.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$665.00	$117.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$198.00	$105.77
99213 Established patient office or other outpatient visit, typically 15 minutes	69	52	$126.94	$69.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$301.00	$159.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	51	$195.00	$102.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	30	$139.00	$71.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$245.00	$132.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	18	$78.00	$38.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$358.00	$199.89
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1590.00	$673.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$378.00	$192.54
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	13	13	$1071.00	$264.10
99238 Hospital discharge day management, 30 minutes or less	12	12	$141.00	$71.83
45380 Biopsy of large bowel using an endoscope	12	12	$903.00	$195.43
49650 Repair of groin hernia using an endoscope	11	11	$1030.91	$468.02

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 57-010164

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Kitsap General Surgery Pllc

9927 Mickelberry Rd Nw, Silverdale, WA 983837861

Phone: 3606131335

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Kimberly Chan , MD

Surgery

NPI 1194896779

Doctor of Medicine (M.D.)

Dr. Ty Chun , MD

Surgery

NPI 1659484699

Doctor of Medicine (M.D.)

Dr. Thomas Wixted , MD

Surgery

NPI 1841343514

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active March 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2017

Registered at 9927 MICKELBERRY RD NW, SUITE 121, SILVERDALE, WA 983839195 (Tel: 3606131335)

📍

Updated Business Mailing Address March 01, 2017

Registered at 9927 MICKELBERRY RD NW, SUITE 121, SILVERDALE, WA 983839195 (Tel: 3606131335)

👤

Provider Name / Credentials Updated March 01, 2017

Recorded as KRISTAN GUENTERBERG, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2017

Surgery (License #57-010164 in OH)

✅

NPI Profile Active September 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2012

Registered at 9927 MICKELBERRY RD NW, SUITE 121, SILVERDALE, WA 983839195 (Tel: 3606131335)

📍

Updated Business Mailing Address September 13, 2012

Registered at 9927 MICKELBERRY RD NW, SUITE 121, SILVERDALE, WA 983839195 (Tel: 3606131335)

👤

Provider Name / Credentials Updated September 13, 2012

Recorded as KRISTAN GUENTERBERG, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2012

Surgery (License #57-010164 in OH)

🟢

Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659593754

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2007

Last Update: March 01, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9927 Mickelberry Rd Nw, Suite 121

Silverdale, WA 983839195

Phone: 3606131335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.