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

Dr. Mitchell Van Tippetts, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093942799

Dr. Mitchell Van Tippetts, MD is a Family Practice in Spokane, Washington. Qualified in 2009, 17 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2009
Specialties on file
2
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

551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone: (509) 489-2369
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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 MD60250890 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WA)

Record details

NPI number1093942799
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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