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

Dr. Mark J Waliser, MD

Individual provider Emergency Medicine Physician · NPI 1356368161

Dr. Mark J Waliser, MD is an Emergency Medicine Physician in Ilwaco, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
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

174 First Ave N
Ilwaco, WA 98624-0258
Phone: (360) 642-3181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD00025170 (WA)

Record details

NPI number1356368161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box H, Ilwaco, WA 98624-0258

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