Organization Active NPI

Ambassador's Health Alliance

  • Family Medicine Physician
  • Trout Lake, WA
National Provider Identifier
1881125284
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO157483 Issued in OR
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

Updated by the provider on May 13, 2026

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

Authorized official

Name
Tobin D Rummel, D.O.NPI 1063733293
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X DO157483 OR Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.