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

Individual provider Emergency Medicine Physician · NPI 1710628904

Mr. Stephen Larue Ettinger, MD is an Emergency Medicine in Wenatchee, Washington. Graduated from University of California, San Francisco School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in Washington.

Years since qualifying
4
Trained at
University of California, San Francisco School of Medicine
Licensed in
WA
In the registry since
2022
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

1201 S Miller St
Wenatchee, WA 98801-3201
Phone: (509) 662-1511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 325 9th Ave, Seattle, WA 98104-2420 — (206) 744-2122

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD.61567204 (WA)

Record details

NPI number1710628904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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