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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOAP LAKE FAMILY MEDICINE

Active Organization

SOAP LAKE FAMILY MEDICINE is a Family Medicine organization located in SOAP LAKE, Washington. NPI 1104013556 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOAP LAKE, WA

Registration Details

NPI Number
1104013556
Provider Type
Organization
NPI Issued
Oct 1, 2007 (18.879210724708 yrs)
Last Updated
Mar 31, 2008
License
PA10001768 (WA)

Practice Information

Address
127 2ND AVE SW
SOAP LAKE, WA, 988510958
Browse WA providers · Browse ZIP 98851
Phone
5092460540
Fax
5092460358
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.