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

Nicholas Taylor Duletzke

Individual provider Surgery Physician · NPI 1417319922

Nicholas Taylor Duletzke is a General Surgery in Vancouver, Washington. Graduated from Oregon Health Sciences University School of Medicine in 2016, 10 years ago. Practices with Peacehealth, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
WA
In the registry since
2016
Specialties on file
4

Practice location Address checks out

505 NE 87th Ave Ste 301
Vancouver, WA 98664-1965
Phone: (360) 514-1854
Fax: (360) 514-6063
Show map & directions

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

Additional practice locations (1)

  • 30 N 1900 E, Salt Lake City, UT 84132-0002 — (801) 581-6803

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence MD61281239 (WA)
Surgery Physician Taxonomy 208600000X · Licence MD61281239 (WA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence MD61281239 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417319922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vancouver