SNOQUALMIE VALLEY CLINIC, PLLC (NPI# 1457492936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457492936 |
| Entity Type | Organization |
| Organization Name | SNOQUALMIE VALLEY CLINIC, PLLC |
| Practice Address |
38700 Se River St Snoqualmie WA 98065-2013 |
| Mailing Address |
Po Box 2013 Snoqualmie WA 98065-2013 |
| Practice Telephone | 4258882299 |
| Practice Fax Number | 4258881204 |
| Mailing Telephone | 4258882299 |
| Mailing Fax Number | 4258881204 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | MS. SHERI MOKLEBUST (CLINIC MANAGER) |
| Authorized Official Telephone | 4258882299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7020753 | 05 |
| Street Address |
38700 SE RIVER ST |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659335255 | Maurice Lee Doerfler | Family Medicine | 38700 Se River St, Snoqualmie, WA 98065 | 2006-04-12 |
| 1144876731 | David R. Primrose, Dds Pllc | Dentist | 38700 Se River St, Snoqualmie, WA 98065-5154 | 2019-08-10 |
| 1588168140 | Jenni Gant | Massage Therapist | 38700 Se River St, Ste 300, Snoqualmie, WA 98065 | 2018-03-20 |
| 1437276581 | Brian Elder Mayer | Dentist | 38700 Se River St, Ste E, Snoqualmie, WA 98065 | 2007-03-23 |
| 1316054505 | Robert C Strom | Dentist | 38700 Se River St, Snoqualmie, WA 98065-2007 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
| 1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
| 1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
| 1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
| 1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
| 1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
| Find all providers in zip 98065 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437256302 | Aarti R Deshpande | Family Medicine | 37624 Se Fury St Ste 101, Snoqualmie, WA 98065-9680 | 2006-09-20 |
| 1831122449 | Mary E Lambe | Family Medicine | 38700 Se River Street, Snoqualmie Valley Clinic, Snoqualmie, WA 98065 | 2006-07-08 |
| 1659335255 | Maurice Lee Doerfler | Family Medicine | 38700 Se River St, Snoqualmie, WA 98065 | 2006-04-12 |
| 1487186011 | Volkmar Uwe Gaussmann | Family Medicine | 37624 Se Fury St Ste 101, Snoqualmie, WA 98065-9680 | 2017-04-02 |
| 1194987891 | Craig M Schier | Family Medicine | 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065-9680 | 2008-06-25 |
| 1134310865 | Snoqualmie Indian Tribe | Family Medicine | 8130 Railroad Avenue, Snoqualmie, WA 98065-0969 | 2007-08-07 |
| 1770663759 | John Merle Gray | Family Medicine | 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 | 2006-10-16 |
| 1831280684 | H. Martin Vatheuer | Family Medicine | 37624 Se Fury St Ste 101, Snoqualmie, WA 98065-9680 | 2006-09-27 |
| 1447292552 | Alan K Johnson | Family Medicine | 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 | 2006-06-12 |
| 1487695714 | Joanna Marie Hagen | Family Medicine | 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 | 2006-06-09 |
| Find all providers in SNOQUALMIE | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
Please comment or provide details below to improve the information on SNOQUALMIE VALLEY CLINIC, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.