Provider Demographics
NPI:1689790792
Name:WHETSTONE, DEL (DO)
Entity Type:Individual
Prefix:DR
First Name:DEL
Middle Name:
Last Name:WHETSTONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9629 EVERGREEN WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7198
Mailing Address - Country:US
Mailing Address - Phone:425-353-6755
Mailing Address - Fax:425-953-9848
Practice Address - Street 1:9629 EVERGREEN WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7198
Practice Address - Country:US
Practice Address - Phone:425-353-6755
Practice Address - Fax:425-953-9848
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOP00001171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5065OtherLABOR & INDUSTRIES
WAOP00001171OtherMEDICAL LICENSE
WAOP00001171OtherMEDICAL LICENSE
WAD33726Medicare UPIN