IndividualActive
Chad Bouterse, D.O.
NPI 1699896167 · Ophthalmology Physician · Clarkston, WA
Provider details
- NPI number
- 1699896167
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101016467 (MI)
Practice location
500 Port Dr
Clarkston, WA 99403-1835
Phone: (509) 758-8811
Fax: (509) 751-1188
Mailing address
500 Port Dr
Clarkston, WA 99403-1835
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2010-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.