DUTTON VETERINARY MEDICINE PLLC (NPI# 1609153766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609153766 |
| Entity Type | Organization |
| Organization Name | DUTTON VETERINARY MEDICINE PLLC |
| Other Organization Name | MEDICAL LAKE VETERINARY CLINIC |
| Practice Address |
212 East Lake Street Medical Lake WA 99022 |
| Mailing Address |
Po Box 156 212 East Lake Street Medical Lake WA 99022-0156 |
| Practice Telephone | 5092993675 |
| Practice Fax Number | 5092993279 |
| Mailing Telephone | 5092993675 |
| Mailing Fax Number | 5092993279 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | DR. TRINA ROSE DUTTON (VETERINARIAN/OWNER) |
| Authorized Official Telephone | 5092993675 |
| Authorized Official Credential | DVM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | VT60108256 | WA | Hospitals |
| Other Name | Type Code |
|---|---|
| Medical Lake Veterinary Clinic | Doing Business As Name - Organization |
| Street Address |
212 EAST LAKE STREET |
| City | MEDICAL LAKE |
| State | WA |
| Zip Code | 99022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462227 | Alicia Burton Dds Pllc | Clinic/Center | 47 E. Wa 902, Medical Lake, WA 99022 | 2017-12-04 |
| 1487100038 | Tammy Lee Adler | Pharmacist | 1010 W Fir St, Medical Lake, WA 99022 | 2016-09-01 |
| 1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
| 1033546288 | Torrance Whitney Baldwin | Speech-Language Pathologist | 116 West 3rd St., Medical Lake, WA 99022 | 2013-10-02 |
| 1144572710 | Keri Lea Wissink | Speech-Language Pathologist | 116 West Thrird Street, Medical Lake, WA 99022 | 2012-10-08 |
| 1881912962 | Susan L Vanwormer | Counselor | 108 N. Jefferson, Medical Lake, WA 99022 | 2010-05-13 |
| 1467774232 | Ryan K Love | Dentist | N 123 Brower Street, Medical Lake, WA 99022 | 2010-02-22 |
| 1023263464 | Emily S Mildes | Nurse Practitioner | 1451 W Maple, Medical Lake, WA 99022 | 2008-11-26 |
| 1619005014 | Maria Lydia Montenegro | General Practice | 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 | 2007-02-28 |
| 1851442693 | Jessica M Toillion | Dentist | N 123 Brower, Medical Lake, WA 99022 | 2007-01-16 |
| Find all providers in zip 99022 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336559251 | Barnick Chiropractic, Ps | Special Hospital | 13307 Ne Highway 99, Suite 113, Vancouver, WA 98686-3033 | 2014-04-30 |
| 1780950766 | Veterinary Specialty Group Pll | Special Hospital | 2505 S 80th St, Tacoma, WA 98409-8400 | 2012-03-23 |
| 1891943288 | Wright Endodontics | Special Hospital | 12500 Se 2nd Cir Ste 135, Vancouver, WA 98684-6031 | 2008-08-28 |
| 1518021161 | Colleen Richardson | Special Hospital | 325 9th Avenue, Seattle, WA 98101 | 2006-12-20 |
| 1982771135 | Physicians Hospital Services II. Pllc | Special Hospital | 12101 Ambaum Boulevard Sw, Seattle, WA 98146 | 2006-11-30 |
| 1467999698 | Amit Haboosheh | Special Hospital | 1959 Ne Pacific St, Seattle, WA 98195-7115 | 2017-01-26 |
| 1053775841 | Lourdes | Special Hospital | 224 N 7th Ave, Pasco, WA 99301 | 2016-04-08 |
| 1356781884 | Yakima Valley Memorial Hospital | Special Hospital | 3801 Kern Way, Yakima, WA 98902-6340 | 2013-06-28 |
| 1902141443 | Veterans Health Administration | Special Hospital | 1600 S Columbian Way, Seattle, WA 98108-1565 | 2012-12-11 |
| 1952681033 | Cat Seattle, LLC | Special Hospital | 12101 Ambaum Blvd Sw, Seattle, WA 98146 | 2011-08-22 |
| Find all providers with the same taxonomy | ||||
| City | MEDICAL LAKE |
| Zip Code | 99022 |
Please comment or provide details below to improve the information on DUTTON VETERINARY MEDICINE PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.