AMY BETH DETTORI M.D. NPI 1174751325

NPI Information

NPI: 1174751325
Provider Name: AMY BETH DETTORI, M.D.
Classification: Pediatrics - 2080P0214X
Specialization: Pediatric Pulmonology
Entity Type: Individual
PECOS Registration: Yes
Address: 3475 N SARATOGA ST
BLDG 993
OAK HARBOR, WA
ZIP 98278
Phone: (360) 257-9406

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NPI Details

Amy Beth Dettori, M.D. is a pediatric pulmonology pediatrics in Oak Harbor, WA. The provider is 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. Amy Beth Dettori, M.D. NPI is 1174751325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3475 N SARATOGA ST
BLDG 993
OAK HARBOR, WA
ZIP 98278-800
Phone: (360) 257-9406

The NPI 1174751325 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2009 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0214X	Pediatrics	Pediatric Pulmonology	MD61153930	WASHINGTON	Yes
2	2083A0100X	Preventive Medicine	Aerospace Medicine	01068606A	INDIANA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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