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

Jared Rex Wortham, DO

Individual provider Pediatrics Physician · NPI 1902241235

Jared Rex Wortham, DO is a Pediatrics Physician in Moses Lake, Washington. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2013
Specialties on file
2
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

1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone: (509) 793-9787
Fax: (509) 764-3263
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OP61442055 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence O-0924 (ID)

Record details

NPI number1902241235
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 30, 2013
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address1616 S Pioneer Way, Moses Lake, WA 98837-2487

Other providers in Moses Lake