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AMY BETH DETTORI M.D.
NPI 1174751325
Pediatrics - Pediatric Pulmonology in Oak Harbor, WA

Active since June 26, 2009PECOS Enrolled
3475 N SARATOGA ST, BLDG 993, OAK HARBOR, WA 98278(360) 257-9406 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Beth Dettori M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY BETH DETTORI M.D. (NPI 1174751325) is an individual pediatric pulmonology provider in Oak Harbor, Washington, licensed in Washington (MD61153930) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174751325
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameAMY BETH DETTORICredential: M.D.
Location Address3475 N SARATOGA ST, BLDG 993Oak Harbor, WA 98278-8800
Mailing Address6034 40th Ave NeSeattle, WA 98115-7502 · (206) 765-6766
Phone(360) 257-9406
Sole ProprietorNo
Enumeration DateJune 26, 2009
Last NPPES UpdateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1174751325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in WA · MD61153930
Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 01068606A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3475 N SARATOGA ST, Oak Harbor, WA 98278
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy Beth Clark M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Beth Dettori M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN D MATTSON M.D.
Military Health Care Provider
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-9836
DR. MARTIN THOMAS CLARK DDS
Dentist (Prosthodontics)
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-4478
COLIN G CHINN M.D.
Internal Medicine (Gastroenterology)
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-9974
DR. NANCY GIMBUT HIGHT PHD, CCCA
Audiologist
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-9974
DR. VERNON DALE MORGAN M.D.
Family Medicine
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-9918
MS. NATALIE GWYN LEDBETTER CRNA
Nurse Anesthetist, Certified Registered
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-9972
DR. SAMUEL ALFRED HERBERT PHD
Psychologist (Clinical)
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-9859
MR. RICHARD RYAN TOMLINSON IDC
Military Health Care Provider (Independent Duty Corpsman)
3475 N SARATOGA ST
OAK HARBOR, WA 98278
Island County (360) 257-6876

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Dettori's NPI number?

The NPI number for Amy Dettori is 1174751325. It was assigned to this individual provider in the NPPES registry on June 26, 2009. The provider is also known as Amy Beth Clark M.D..

Where is Amy Dettori located?

Amy Dettori practices at 3475 N Saratoga St Bldg 993, Oak Harbor, WA 98278. The listed phone number is (360) 257-9406.

What is Amy Dettori's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Amy Dettori enrolled in Medicare?

Yes. Amy Dettori is registered in the Medicare PECOS enrollment system.

What insurance does Amy Dettori accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amy Dettori as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Dettori was last updated on June 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.