IndividualActive
Phillip Medina, MD
NPI 1720040371 · Sports Medicine (Orthopaedic Surgery) Physician · Renton, WA
Provider details
- NPI number
- 1720040371
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00028329 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4361 Talbot Road S
#102
Renton, WA 98055
Phone: (425) 226-1180
Fax: (425) 235-0695
Approximate (ZIP-level) locationGet directions
Mailing address
4361 Talbot Road S
Renton, WA 98055
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.