Individual provider · Type 1 NPI

Michael Ashton Theobald, MD

Specialist · Edmonds, WA

NPI number 1821047556 Active

Practice location

21601 76th Ave W
Edmonds, WA 98026-7507

Call (425) 640-4000 Map

Mailing address

12042 6th Ave NW
Seattle, WA 98177-4521

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD00011020 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821047556

Michael Ashton Theobald, MD's National Provider Identifier is 1821047556, issued on May 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edmonds, WA. The record was last updated on Jul 13, 2026.