Stella C Tanedo, MD
Internal Medicine in Everett, WA. Individual provider (NPI-1).
NPI number1790790582
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1790790582
- Entity type
- Individual (NPI-1)
- Name
- Stella C Tanedo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2006
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD60130480 | WA | Yes |
| 207R00000X | Internal Medicine | G79170 | CA |
Practice location
12800 Bothell Everett HwySuite 180
Everett, WA 98208-6642
Phone 425-316-5130 · Fax 425-225-1004
Mailing address
Po Box 3360Portland, OR 97208-3360
Phone 866-366-2983
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