Healthcare Provider Details

I. General information

NPI: 1255910832
Provider Name (Legal Business Name): MICHAEL D REES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 S WHITCOMB AVE
TONASKET WA
98855-9287
US

IV. Provider business mailing address

2129 E WILSON AVE
SALT LAKE CITY UT
84108-3021
US

V. Phone/Fax

Practice location:
  • Phone: 509-486-3191
  • Fax: 509-223-1742
Mailing address:
  • Phone: 307-248-1012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP61594494
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOP61594494
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: