Licenna Michelle Bouit Dunn, PHYSICIAN ASSISTANT
NPI 1457154023ActiveIndividual· Surgery, Vascular Surgery· Spokane, WA
Surgery, Vascular Surgery (PHYSICIAN ASSISTANT) with Multicare Health System, practicing in Spokane, Washington. Enrolled in Medicare as practitioner - physician assistant. Lists Deaconess Medical Center as a hospital affiliation.
Overview
| NPI | 1457154023 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Mar 31, 2025 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Feb 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | PA.61673586 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliation
- Deaconess Medical CenterSpokane, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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