SearchWashington163WS0200X

Dylan Van Denend

NPI 1225847700 · on the registry since 2024

Practice

Address
200 E Barker St
Medical Lake, WA 99022
Phone
(509) 565-3100
Clinicians at this address
2

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington