IndividualActive
Donald Wortham, MD
NPI 1164504197 · Ambulatory Surgical Clinic/Center · Lynnwood, WA
Provider details
- NPI number
- 1164504197
- Entity type
- Individual
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00020164 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
19109 36th Ave W
Suite 109
Lynnwood, WA 98036-5767
Phone: (425) 744-7771
Fax: (425) 744-7774
Approximate (ZIP-level) locationGet directions
Mailing address
19109 36th Ave W
Lynnwood, WA 98036-5767
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2014-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.