Individual
ICHIRO OTSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 353-3788
(425) 353-8041
Mailing address
PO BOX 84571, SEATTLE, WA 98124-5871
(425) 353-3788
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00038794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157556
LABOR & INDUSTRIES
WA
05
—
8286080
—
WA
Enumeration date
08/31/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us