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

Jack Ryan Dotson, DO

Individual provider Family Medicine Physician · NPI 1164160990

Jack Ryan Dotson, DO is a Family Practice in Richland, Washington. Qualified in 2022, 4 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

940 Northgate Dr
Richland, WA 99352-3505
Phone: (509) 942-2516
Fax: (509) 942-2527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 127 S Union St, Kennewick, WA 99336-2251 — (208) 305-2301

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP61458787 (WA)

Record details

NPI number1164160990
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address550 Gage Blvd Ste 101, Richland, WA 99352-9532

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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