Individual provider · Type 1 NPI

Charles Ibeziako, MD

Family Medicine Physician · Othello, WA

NPI number 1093695249 Active

Practice location

1515 E Columbia St
Othello, WA 99344-1846

Call (509) 488-5256 Map

Fax (509) 488-9939

Other practice locations

  • 601 Government Rd, Mattawa, WA 99349-5120 · (509) 488-5256

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XML70050698 (WA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1093695249

Charles Ibeziako, MD's National Provider Identifier is 1093695249, issued on Sep 6, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Othello, WA. The record was last updated on Sep 23, 2025.