Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK KORTBAOUI, DO
Active Sole ProprietorMARK KORTBAOUI, DO is a Family Medicine healthcare provider located in KENNEWICK, Washington. NPI 1942762851 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KENNEWICK, WA
Registration Details
- NPI Number
- 1942762851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2019 (7.3268745174365 yrs)
- Last Updated
- Oct 9, 2024
- License
-
OP61564493 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 W 10TH AVE STE 202KENNEWICK, WA, 993366302Browse WA providers · Browse ZIP 99336
- Phone
- 5092215520
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in KENNEWICK, WA
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN K. BARSTAD | M.D. | 1871596346 |
| DR. MENELEO TRINIDAD LILAGAN | M.D. | 1598764979 |
| DR. MARK A HOITINK | MD | 1790785962 |
| MARK DANIEL FLESHER | M.D. | 1497741771 |
| BYRON L BURRUP | D.O. | 1598751729 |
| SHEILA K DUNLOP | D.O. | 1093703852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.