| Snoqualmie Valley Clinic, Pllc | |
|
450 Nw Gilman Blvd Ste 203 Issaquah WA 98027-2483 | |
| (425) 888-2299 | |
| (425) 888-1204 |
| Full Name | Snoqualmie Valley Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 450 Nw Gilman Blvd Ste 203, Issaquah, Washington |
| Authorized Official Name and Position | Sheri Moklebust (CLINIC MANAGER) |
| Authorized Official Contact | 4258882299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Snoqualmie Valley Clinic, Pllc Po Box 2013 Snoqualmie WA 98065-2013 Ph: (425) 888-2299 | Snoqualmie Valley Clinic, Pllc 450 Nw Gilman Blvd Ste 203 Issaquah WA 98027-2483 Ph: (425) 888-2299 |
| NPI Number | 1457492936 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 01/20/2026 |
| Medicare PECOS PAC ID | 1355231820 |
|---|---|
| Medicare Enrollment ID | O20040318000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457492936 | NPI | - | NPPES |
| 7020753 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
| Provider Name | Mary E Lambe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831122449 PECOS PAC ID: 7810934064 Enrollment ID: I20050411000200 |
| Provider Name | Courtney Laird Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992784656 PECOS PAC ID: 6709889058 Enrollment ID: I20060807000346 |
| Provider Name | Maurice Lee Doerfler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659335255 PECOS PAC ID: 8224928791 Enrollment ID: I20100803001210 |
Integrated Rehabilitation Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5825 221st Pl Se, Suite 208, Issaquah, WA 98027 Phone: 425-392-4206 Fax: 425-392-4209 | |
Orientallers Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5188 Nw Sammamish Rd, Issaquah, WA 98027 Phone: 425-591-8657 | |
Jenmark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Front St S, Issaquah, WA 98027 Phone: 425-392-1271 | |
Kim Pruess Nevins Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Gilman Blvd, Ste 301a, Issaquah, WA 98027 Phone: 425-391-0313 Fax: 425-837-8501 | |
Integral Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 1st Ave Nw, Issaquah, WA 98027 Phone: 425-557-7706 Fax: 425-557-0595 | |
Terry L Jacobson Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 Nw Juniper St, Suite 204, Issaquah, WA 98027 Phone: 425-837-8842 |