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

Joseph Dale Mickelson, MD

Individual provider Family Medicine Physician · NPI 1578769816

Joseph Dale Mickelson, MD is a Family Practice in Spokane, Washington. Graduated from West Virginia University School of Medicine in 2007, 19 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Indiana and Washington.

Years since qualifying
19
Trained at
West Virginia University School of Medicine
Licensed in
IN, WA
In the registry since
2007
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

624 E Frnt Ave
Spokane, WA 99202-2139
Phone: (509) 626-9900
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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 MD60456946 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01066154A (IN)

Record details

NPI number1578769816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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