Healthcare Provider Details

I. General information

NPI: 1881019982
Provider Name (Legal Business Name): KAELA FRIZZELL HUTCHINSON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAELA FRIZZELL

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 SE PARK PLAZA DR STE 140
VANCOUVER WA
98684-5887
US

IV. Provider business mailing address

500 NE MULTNOMAH ST STE 100
PORTLAND OR
97232-2099
US

V. Phone/Fax

Practice location:
  • Phone: 360-449-7042
  • Fax: 360-449-7040
Mailing address:
  • Phone: 800-813-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOP61054207
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberOP61054207
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: