Healthcare Provider Details

I. General information

NPI: 1093644973
Provider Name (Legal Business Name): DR DRYWAHL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11812 SHORELINE CT
PASCO WA
99301-9094
US

IV. Provider business mailing address

11812 SHORELINE CT
PASCO WA
99301-9094
US

V. Phone/Fax

Practice location:
  • Phone: 509-308-9844
  • Fax:
Mailing address:
  • Phone: 509-308-9844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELVIN MERLE WAHL JR.
Title or Position: OWNER
Credential: MD
Phone: 509-308-9844