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

Michael Momohara, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1467915710

Michael Momohara, MD is a Physical Medicine and Rehabilitation in Lynnwood, Washington. Graduated from Loma Linda University School of Medicine in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Trained at
Loma Linda University School of Medicine
Licensed in
WA
In the registry since
2019
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

12911 Beverly Park Rd
Lynnwood, WA 98087-5127
Phone: (206) 880-3224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD61657954 (WA)

Record details

NPI number1467915710
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing addressPo Box 83, Mukilteo, WA 98275-0083

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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