Individual
DR. DOUGLAS DARREN PRESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4361 TALBOT RD S, SUITE 101, RENTON, WA 98055-6226
(425) 336-4442
(425) 271-1368
Mailing address
4361 TALBOT RD S, SUITE 101, RENTON, WA 98055-6226
(425) 336-4442
(425) 271-1368
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
0196005
WA
213ES0000X
Sports Medicine Podiatrist
Primary
0196005
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
0196005
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056910
WORKERS COMP GRP #
WA
01
—
0196005
WORKERS COMP
WA
01
—
0293820001
CIGNA MEDICARE
WA
01
—
1597PR
REGENCE
WA
05
—
8274391
—
WA
01
—
VA5229
REGENCE GROUP #
WA
Enumeration date
10/31/2005
Last updated
09/11/2025
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