MEDICARE: DR. MICHELLE OST MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD00029726	WA
2	174400000X	Specialist	MD00029726	WA

General Provider Information

NPI Number	:	1689670192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE OST MD

Provider Business Mailing Address
First Line	:	1033 REGENTS BLVD STE 102
Second Line	:
City	:	FIRCREST
State	:	WA
Zip	:	98466-6089
Country	:	US
Telephone Number	:	253-564-1115
Fax Number	:	253-565-4552

Provider Business Practice Location Address
First Line	:	1033 REGENTS BLVD STE 102
Second Line	:
City	:	FIRCREST
State	:	WA
Zip	:	98466-6089
Country	:	US
Telephone Number	:	253-564-1115
Fax Number	:	253-565-4552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. MICHELLE OST MD” Practice Location

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