MARION ARTHUR FOSSUM MD NPI 1356875736

NPI Information

  • NPI: 1356875736
  • Provider Name: MARION ARTHUR FOSSUM, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1717 S RITCHEY RD
    MEDICAL LAKE, WA
    ZIP 99022
  • Phone: (509) 590-8766

Map and Directions

Get Directions

NPI Details

Marion Arthur Fossum, MD is a neurology psychiatry neurology in Medical Lake, WA with 10 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Marion Arthur Fossum, MD NPI is 1356875736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1717 S RITCHEY RD
MEDICAL LAKE, WA
ZIP 99022-792
Phone: (509) 590-8766

The NPI 1356875736 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 4/12/2017 and was last updated on 10/16/2025.

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
12084N0400XPsychiatry & NeurologyNeurology33801MISSISSIPPINo
22084N0400XPsychiatry & NeurologyNeurology83574-20WISCONSINNo
32084N0400XPsychiatry & NeurologyNeurology2024012104MISSOURIYes
42084N0400XPsychiatry & NeurologyNeurology61254901WASHINGTONNo
52084N0400XPsychiatry & NeurologyNeurology2024-00610NORTH CAROLINANo
62084N0400XPsychiatry & NeurologyNeurology26243NEVADANo
72084N0600XPsychiatry & NeurologyClinical Neurophysiology61254901WASHINGTONNo
82084N0400XPsychiatry & NeurologyNeurologyME167370FLORIDANo
92084N0400XPsychiatry & NeurologyNeurology0101281448VIRGINIANo
102084N0400XPsychiatry & NeurologyNeurology25MA12260400NEW JERSEYNo
112084E0001XPsychiatry & NeurologyEpilepsy61254901WASHINGTONNo
122084N0400XPsychiatry & NeurologyNeurology036.169354ILLINOISNo
132084N0400XPsychiatry & NeurologyNeurologyMD220784OREGONNo
142084N0400XPsychiatry & NeurologyNeurology01092935AINDIANANo

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI