Individual
DR. WADE R OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00029568
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006269
—
WA
01
—
309342
L&I
WA
01
—
P01192371
RR MEDICARE
—
Enumeration date
07/29/2006
Last updated
07/16/2019
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