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

Mark Kortbaoui, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942762851

Mark Kortbaoui, DO is a Family Practice in Kennewick, Washington. Qualified in 2021, 5 years ago. Practices with Prosser Public Hospital District of Benton County, a 111-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2019
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.

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Practice location Address checks out

320 W 10th Ave Ste 202
Kennewick, WA 99336-6302
Phone: (509) 221-5520
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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 OP61564493 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942762851
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address909 Ne 110th Ave, Portland, OR 97220-3134

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prosser Public Hospital District Of Benton County — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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