Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Ryan Bolthouse, MD

Individual provider Family Medicine Physician · NPI 1811275563

Dr. David Ryan Bolthouse, MD is a Family Practice in Poulsbo, Washington. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
15
Trained at
Wayne State University School of Medicine
Licensed in
WA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19379 7th Ave NE
Poulsbo, WA 98370-7504
Phone: (360) 394-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60868114 (WA)

Record details

NPI number1811275563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2011
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address19379 7th Ave Ne, Poulsbo, WA 98370-7504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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