Individual provider · Type 1 NPI

Nicholas Taylor Duletzke

Trauma Surgery Physician · Vancouver, WA

NPI number 1417319922 Active

Practice location

505 NE 87th Ave Ste 301
Vancouver, WA 98664-1965

Call (360) 514-1854 Map

Fax (360) 514-6063

Mailing address

30 N 1900 E
Salt Lake City, UT 84132-0002

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMD61281239 (WA)
Surgical Critical Care Physician 2086S0102XMD61281239 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Trauma Surgery Physician Primary 2086S0127XMD61281239 (WA)

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1417319922

Nicholas Taylor Duletzke's National Provider Identifier is 1417319922, issued on Mar 23, 2016. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Vancouver, WA. The record was last updated on Jun 8, 2022.