Active NPI
Ambassador's Health Alliance
- Family Medicine Physician
- Trout Lake, WA
National Provider Identifier
1881125284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO157483
- Legal business name
- AMBASSADOR'S HEALTH ALLIANCE
- Practice address
- 4 Stoller Rd
Trout Lake, WA 98650-9712 - Phone
- (509) 395-2061
- NPI assigned
- Mar 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tobin D Rummel, D.O.
- Title
- Owner
- Phone
- (509) 395-2061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO157483 | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 200750145NP | OR |
Addresses
Primary practice location
4 Stoller Rd
Trout Lake, WA 98650-9712
Mailing address
4 Stoller Rd
Trout Lake, WA 98650-9712
Phone (509) 395-2061
National Provider Directory
National Provider DirectoryLocations
310 NW 5th St
Corvallis, OR 97330
Phone (541) 753-4785
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Trout Lake, WA
- NPI 1063733293
-
- Family Nurse Practitioner
- Corvallis, OR
- NPI 1023292570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1881125284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 STOLLER RD",
"city": "TROUT LAKE",
"state": "WA",
"postal_code": "986509712",
"telephone_number": "509-395-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 STOLLER RD",
"city": "TROUT LAKE",
"state": "WA",
"postal_code": "986509712",
"telephone_number": "509-395-2061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBASSADOR'S HEALTH ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-27",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "RUMMEL",
"authorized_official_first_name": "TOBIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-395-2061",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": "DO157483",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200750145NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trout Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.