Michael Van Duren, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G60941 Issued in CA

Practice address

411 7TH St
Morton, WA 98356-9430

Phone

(925) 899-0536

NPI assigned

Nov 9, 2006

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1043380660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983561003",
            "telephone_number": "925-899-0536",
            "fax_number": "925-957-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 7TH ST",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983569430",
            "telephone_number": "925-899-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUREN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G60941",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G60941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Shepard, LMP
• Hailey Nichole Stevens, RDH
• Sylvia S Swanson, ARNP-CNM
• John A Swetz, D.C.
• Nicholas R Tyler-Hashemi, PHARM D.
• Sami Vertz, LMT
• Crystal Ann Whitney, ARNP

• Family Medicine Physician in Morton, WA
• Providers in Morton, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.