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Chad Ryan Bouterse, D.O.

Ophthalmology Physician in Clarkston, WA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699896167

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Registry record

Entity type Individual (Type 1)
Name Chad Ryan Bouterse
Credential D.O.
Sex Male
Practice address 500 Port Dr, Clarkston, WA, 99403
Phone (509) 758-8811
Fax (509) 751-1188
Enumeration date Apr 3, 2007
Last updated in NPPES May 28, 2010

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 5101016467 (MI) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License OP60127012 (WA) Primary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License O 570 (ID) Secondary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
0080BO Other - ASURIS - CLARKSTON
1699896167 Other - FEDERAL BLUE CROSS
808567101 Other ID MEDICAID - PULLMAN
258958 Other WA WASHINGTON LABOR & INDUSTRY
808567100 Other ID MEDICAID - CLARKSTON
1699896167 Other - PREMERA BLUE CROSS
0081BO Other - ASURIS - PULLMAN
O 0570 Other ID STATE LICENSE
OP60127012 Other WA STATE LICENSE
1699896167 Other - REGENCE BLUE SHIELD
1699896167 Other - BLUE CROSS OF IDAHO
8564387 Medicaid WA -

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A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Chad Bouterse?
Chad Bouterse is registered in NPPES with the primary taxonomy of Ophthalmology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-28.