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

Jared L Wutzke, MD

Individual provider Emergency Medicine Physician · NPI 1225238207

Jared L Wutzke, MD is an Emergency Medicine in Walla Walla, Washington. Graduated from Oregon Health Sciences University School of Medicine in 2007, 19 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
WA
In the registry since
2007
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

401 W Poplar St Psmmc ER
Walla Walla, WA 99362-2846
Phone: (509) 522-5802
Fax: (509) 522-5541
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD60141552 (WA)

Record details

NPI number1225238207
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2007
Last updated in NPPESMarch 30, 2012

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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