Esravila Ariya Wibisono, MD
Esravila Ariya Wibisono, MD is an Internal Medicine in Bonney Lake, Washington. Qualified in 2018, 8 years ago. Practices with Multicare Health System, a 2,302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Washington.
- Years since qualifying
- 8
- Licensed in
- CT, WA
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10004 204th Ave E Ste 2200Bonney Lake, WA 98391-6537
Phone: (253) 447-3300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 56 Franklin St Ste 1, Waterbury, CT 06706-1281 — (203) 709-8685
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD61603415 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 06-0646844 (CT) |
Record details
| NPI number | 1972233708 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 14, 2022 |
| Last updated in NPPES | July 31, 2025 |
| Certification date | July 31, 2025 |
| Mailing address | 10004 204th Ave E Ste 2200, Bonney Lake, WA 98391-6537 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Multicare Health System — 2302 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Bonney Lake
-
Donovan Richard Hofstrand
18301 77th St E, Bonney Lake, WA 98391-7030 · (253) 569-3414
-
Rylie Linford
9906 194th Ave E, Bonney Lake, WA 98391-5958 · (435) 512-6364
-
Barbara Neto
18306 95th Loop E, Bonney Lake, WA 98391-7017 · (781) 686-6001
-
Dr. Kamyar Vaziri, MD
9230 Sky Island Dr E Fl 2, Bonney Lake, WA 98391-7385 · (253) 750-6110