Associated Valley Providers Pllc is a
Family Medicine based in Renton, Washington. Associated Valley Providers Pllc is licensed to practice in Washington (license number MD00032726) and their current practice location is
4361 Talbot Rd S Ste 112, Renton, Washington. It can be reached at their office (for appointments etc.) via phone at
(425) 255-5111.
NPI number for Associated Valley Providers Pllc is 1316249907 and their current mailing address is 4361 Talbot Rd S Ste 112, Renton, Washington. Associated Valley Providers Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316249907.
Healthcare Provider's Profile
Full Name | Associated Valley Providers Pllc |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 4361 Talbot Rd S Ste 112, Renton, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316249907
- Provider Enumeration Date: 12/02/2010
- Last Update Date: 12/02/2010
Medical Identifiers
Medical identifiers for Associated Valley Providers Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316249907 | NPI | - | NPPES |
7112634 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO00000396 (Washington) | Secondary |
363L00000X | Nurse Practitioner | AP30004306 (Washington) | Secondary |
207Q00000X | Family Medicine | MD00032726 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Associated Valley Providers Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Associated Valley Providers Pllc 4361 Talbot Rd S Ste 112, Renton, WA 98055-6226 Ph: (425) 255-5111 | Associated Valley Providers Pllc 4361 Talbot Rd S Ste 112, Renton, WA 98055-6226 Ph: (425) 255-5111 |
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