Active NPI 1932113347 Individual Practitioner Male Practitioner

Dr. David A Hutton , MD

Urology • Walla Walla, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Hutton, MD is a certified Urology practicing in Walla Walla, WA. With approximately 37 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1989, Dr. Hutton delivers high-quality medical care to the local community at 380 CHASE AVE.

Dr. Hutton is affiliated with Providence Health And Services - Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

380 Chase Ave

Walla Walla, WA 993622924

Telephone 5098972660

Fax 5098975516

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Washington Facility NPI 1053562876

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Walla Walla, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +10.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Walla Walla, WA (351 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hutton (37 Years) 37 Yrs

Walla Walla Specialty Average (26.5 Years) 26.5 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
81003 Automated urinalysis test	449	283	$9.00	$2.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	162	$391.00	$125.96
99213 Established patient office or other outpatient visit, typically 15 minutes	182	157	$276.00	$89.46
52000 Diagnostic exam of bladder and urethra using an endoscope	175	145	$741.00	$239.04
51798 Ultrasound measurement of bladder capacity after voiding	111	84	$33.00	$11.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	88	$546.00	$179.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	54	$173.00	$55.99
76872 Ultrasound scan of pelvic region through rectum	54	52	$585.00	$138.23
55700 Biopsy of prostate gland	44	43	$741.00	$238.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	44	43	$169.00	$57.56
51702 Simple insertion of temporary bladder tube	43	19	$189.00	$62.53
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	38	11	$104.00	$35.61
51720 Instillation of anti-cancer drug into bladder	38	14	$270.00	$88.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	17	$152.00	$48.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	25	$518.14	$143.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$396.00	$127.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$508.00	$165.98
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	19	$1246.00	$398.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	488	315	$8.00	$2.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	195	$368.00	$126.54
52000 Diagnostic exam of bladder and urethra using an endoscope	183	144	$699.00	$243.69
51798 Ultrasound measurement of bladder capacity after voiding	144	114	$31.00	$10.61
99213 Established patient office or other outpatient visit, typically 15 minutes	135	121	$260.00	$88.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	105	$515.00	$177.09
76872 Ultrasound scan of pelvic region through rectum	57	57	$585.00	$136.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	27	$143.00	$48.70
55700 Biopsy of prostate gland	55	55	$699.00	$237.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	51	$163.00	$56.55
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	53	53	$169.00	$58.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	49	42	$463.50	$121.83
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	47	16	$98.00	$34.26
51702 Simple insertion of temporary bladder tube	46	19	$178.00	$61.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	12	$41.00	$14.21
51720 Instillation of anti-cancer drug into bladder	41	14	$254.00	$88.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$479.00	$161.80
52356 Crushing of stone of ureter with insertion of stent using an endoscope	30	29	$1245.50	$420.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$373.00	$128.01
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	18	$2082.00	$711.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$323.00	$107.87
50590 Shock wave crushing of kidney stones	17	16	$1638.00	$560.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	447	278	$8.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	188	$341.00	$128.04
52000 Diagnostic exam of bladder and urethra using an endoscope	172	136	$665.00	$253.25
99213 Established patient office or other outpatient visit, typically 15 minutes	126	108	$242.00	$90.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	117	100	$481.00	$181.44
51798 Ultrasound measurement of bladder capacity after voiding	108	87	$28.00	$10.55
36415 Insertion of needle into vein for collection of blood sample	70	66	$5.00	$3.00
51702 Simple insertion of temporary bladder tube	62	23	$168.00	$61.12
76872 Ultrasound scan of pelvic region through rectum	57	57	$556.00	$145.93
55700 Biopsy of prostate gland	55	55	$657.00	$250.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	55	55	$157.00	$58.70
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	51	14	$89.00	$34.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	46	39	$467.93	$147.75
51720 Instillation of anti-cancer drug into bladder	40	12	$236.00	$89.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$151.00	$57.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$446.00	$165.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	16	$102.00	$38.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$356.00	$134.31
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1116.55	$411.18
55876 Placement of device in prostate for radiation therapy	16	16	$408.00	$87.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$299.00	$113.42
55874 Injection of biodegradable material next to prostate	14	14	$8088.00	$3130.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$62.00	$23.75
51741 Electronic assessment of bladder emptying	13	13	$35.31	$8.55
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$649.00	$210.70
52648 Laser vaporization of prostate including control of bleeding using an endoscope	11	11	$1842.00	$692.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,625	14	$4.50	$2.85
81003 Automated urinalysis test	587	386	$8.00	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	266	$331.00	$130.15
36415 Insertion of needle into vein for collection of blood sample	221	188	$5.00	$2.96
51798 Ultrasound measurement of bladder capacity after voiding	210	160	$28.00	$10.61
52000 Diagnostic exam of bladder and urethra using an endoscope	148	115	$629.00	$244.45
99213 Established patient office or other outpatient visit, typically 15 minutes	134	122	$233.00	$92.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	119	100	$464.00	$184.71
51702 Simple insertion of temporary bladder tube	86	23	$171.00	$65.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$429.00	$170.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$145.00	$57.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	21	$37.00	$14.50
52332 Insertion of stent in urinary duct (ureter) using an endoscope	40	31	$447.75	$140.70
51720 Instillation of anti-cancer drug into bladder	39	17	$236.00	$91.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	19	$97.00	$38.56
76872 Ultrasound scan of pelvic region through rectum	35	35	$505.00	$145.54
55700 Biopsy of prostate gland	35	35	$664.00	$259.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	34	34	$149.00	$59.74
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	12	$86.00	$33.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$285.00	$114.35
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	22	$1091.76	$418.51
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$252.00	$101.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$59.00	$23.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	2,000	16	$4.50	$2.80
81003 Automated urinalysis test	770	484	$8.00	$2.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	479	359	$266.00	$111.19
51798 Ultrasound measurement of bladder capacity after voiding	279	226	$25.00	$10.44
99213 Established patient office or other outpatient visit, typically 15 minutes	152	135	$184.00	$75.80
52000 Diagnostic exam of bladder and urethra using an endoscope	118	95	$521.00	$216.72
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	110	16	$349.00	$212.48
51702 Simple insertion of temporary bladder tube	104	31	$151.00	$62.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	97	84	$358.00	$146.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	15	$35.00	$14.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	26	$97.00	$40.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$264.00	$108.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$403.00	$165.13
51720 Instillation of anti-cancer drug into bladder	47	17	$207.00	$86.87
52332 Insertion of stent in urinary duct (ureter) using an endoscope	45	35	$439.73	$148.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	19	$77.00	$32.50
99442 Telephone medical discussion with physician, 11-20 minutes	28	28	$184.00	$76.64
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$251.00	$104.01
76872 Ultrasound scan of pelvic region through rectum	22	22	$385.00	$148.68
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$141.00	$58.96
55700 Biopsy of prostate gland	22	22	$617.00	$257.54
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	19	$1106.50	$451.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	15	$57.00	$23.82
86294 Immunologic analysis for detection of tumor antigen, qualitative or semiquantitative	18	13	$60.00	$24.04
51701 Insertion of temporary bladder tube	17	12	$111.00	$44.56
99443 Telephone medical discussion with physician, 21-30 minutes	14	14	$266.00	$111.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$111.00	$46.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	813	497	$8.00	$2.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	532	393	$266.00	$108.37
J9280 Injection, mitomycin, 5 mg	400	17	$200.00	$104.33
51798 Ultrasound measurement of bladder capacity after voiding	289	213	$31.00	$12.79
99213 Established patient office or other outpatient visit, typically 15 minutes	164	146	$182.00	$74.12
52000 Diagnostic exam of bladder and urethra using an endoscope	144	110	$469.00	$191.82
51702 Simple insertion of temporary bladder tube	128	32	$153.00	$63.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	95	$357.00	$146.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	107	36	$97.00	$39.76
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	18	$349.00	$212.21
51720 Instillation of anti-cancer drug into bladder	69	23	$209.00	$86.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	18	$41.00	$16.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$403.00	$166.30
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	19	$76.00	$30.73
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	26	$429.94	$127.44
86294 Immunologic analysis for detection of tumor antigen, qualitative or semiquantitative	29	19	$60.00	$25.06
99221 Initial hospital inpatient care per day, typically 30 minutes	28	26	$249.00	$102.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$265.00	$106.90
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	20	$1048.00	$415.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$56.00	$23.12
55700 Biopsy of prostate gland	14	14	$619.00	$256.44
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$140.86	$58.02
76872 Ultrasound scan of pelvic region through rectum	14	14	$241.29	$131.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$178.00	$73.47
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	11	$831.00	$345.09
36415 Insertion of needle into vein for collection of blood sample	12	12	$5.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	835	494	$8.00	$2.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	497	373	$253.00	$107.48
99213 Established patient office or other outpatient visit, typically 15 minutes	188	155	$171.00	$72.72
52000 Diagnostic exam of bladder and urethra using an endoscope	153	102	$394.00	$168.28
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	144	24	$386.24	$206.53
51702 Simple insertion of temporary bladder tube	133	34	$152.00	$64.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	102	$341.00	$142.58
51798 Ultrasound measurement of bladder capacity after voiding	90	75	$37.00	$15.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	31	$92.00	$39.23
51720 Instillation of anti-cancer drug into bladder	66	21	$201.00	$85.63
J9031 Bcg (intravesical) per instillation	64	20	$216.58	$134.44
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	57	11	$306.00	$131.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	22	$48.00	$20.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$387.00	$162.89
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	24	$72.00	$30.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	29	$409.74	$137.08
76872 Ultrasound scan of pelvic region through rectum	35	33	$229.00	$98.10
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	34	32	$141.00	$60.47
55700 Biopsy of prostate gland	34	32	$594.00	$253.68
86294 Immunologic analysis for detection of tumor antigen, qualitative or semiquantitative	34	26	$60.00	$25.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$254.00	$104.67
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$239.00	$101.35
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1036.41	$439.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	14	$51.00	$21.78
51701 Insertion of temporary bladder tube	12	11	$112.00	$47.98
50590 Shock wave crushing of kidney stones	12	12	$1370.00	$538.39
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1760.00	$688.81
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$757.00	$324.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	793	485	$8.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	333	$252.00	$105.90
99213 Established patient office or other outpatient visit, typically 15 minutes	179	154	$171.00	$72.12
52000 Diagnostic exam of bladder and urethra using an endoscope	171	131	$389.00	$163.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	125	106	$339.00	$143.51
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	19	$354.00	$211.38
51702 Simple insertion of temporary bladder tube	105	22	$149.00	$62.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	87	38	$92.00	$38.67
86294 Immunologic analysis for detection of tumor antigen, qualitative or semiquantitative	70	41	$60.00	$25.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$385.00	$162.41
51720 Instillation of anti-cancer drug into bladder	62	18	$209.00	$88.37
J9031 Bcg (intravesical) per instillation	51	14	$203.00	$126.36
51798 Ultrasound measurement of bladder capacity after voiding	48	40	$46.00	$19.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$254.00	$106.95
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	28	$401.79	$132.11
76872 Ultrasound scan of pelvic region through rectum	29	27	$225.00	$93.83
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	19	$77.00	$32.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$142.00	$58.90
55700 Biopsy of prostate gland	25	25	$587.00	$241.57
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$239.00	$95.98
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	22	22	$745.00	$309.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$322.00	$135.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$102.00	$41.82
51741 Electronic assessment of bladder emptying	16	16	$37.00	$9.25
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1002.00	$417.20

Medical Specialties & State Licenses

CMS Verified: 2021-06-01

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD00035397

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

150715 (OR)

Hospital & Practice Group Affiliations

Providence Health And Services - Washington

380 Chase Ave, Walla Walla, WA 993622924

Phone: 5098973333

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jason Sedarsky , MD

Urology

NPI 1689985822

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 19, 2020

Registered at 380 CHASE AVE, WALLA WALLA, WA 993622924 (Tel: 5098972660)

✅

NPI Profile Active March 22, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2012

Registered at 301 W POPLAR, SUITE 50, WALLA WALLA, WA 99362 (Tel: 5095225832)

📍

Updated Business Mailing Address March 22, 2012

Registered at PO BOX 34439, SEATTLE, WA 981241439

👤

Provider Name / Credentials Updated March 22, 2012

Recorded as DAVID HUTTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2012

Urology (License #MD00035397 in WA)

🟢

Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1932113347

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: June 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 34439

Seattle, WA 981241439

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.