Organization · Type 2 NPI
Lake Wilderness Medical Clinic LLC
Medical Specialty Clinic/Center · Maple Valley, WA
Practice location
26907 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8314
Fax (206) 973-5399
Mailing address
PO Box 1142
Ravensdale, WA 98051-1142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 602777613 (WA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1669647152
Lake Wilderness Medical Clinic LLC's National Provider Identifier is 1669647152, issued on Apr 25, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Maple Valley, WA. The record was last updated on Apr 25, 2008.