Dutton Veterinary Medicine PLLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

VT60108256 Issued in WA

Legal business name

DUTTON VETERINARY MEDICINE PLLC

Doing business as

Medical Lake Veterinary Clinic

Practice address

212 East Lake Street
Medical Lake, WA 99022

Phone

(509) 299-3675

Fax

(509) 299-3279

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Trina Rose Dutton, DVM

Title

Veterinarian/Owner

Phone

(509) 299-3675

Specialties & licenses 1

Addresses

Other names 1

• Medical Lake Veterinary Clinic Doing business as

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1609153766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "address_2": "212 EAST LAKE STREET",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220156",
            "telephone_number": "509-299-3675",
            "fax_number": "509-299-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 EAST LAKE STREET",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "99022",
            "telephone_number": "509-299-3675",
            "fax_number": "509-299-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTTON VETERINARY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "VETERINARIAN/OWNER",
        "authorized_official_telephone_number": "509-299-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "WA",
            "license": "VT60108256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Lake Veterinary Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Cargile Dickerson
• Lori D Dixon, R.N.
• Cassandra J Dubbels
• Cindy Lynn Dudley, ARNP
• Philip Gordon Dunbar, RPH PHD
• Amber Nichole Dvorak, L.M.P.
• Patricia Lynn Dykstra, ARNP
• Eastern State Hospital Pharmacy
• Educational Support Services (Medical Lake School District)
• David W. Elkins Jr., PHD

• Special Hospital in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Special Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.