OrganizationActive
Internal Medicine Clinic LLC
NPI 1104064641 · Primary Care Clinic/Center · Auburn, WA
Provider details
- NPI number
- 1104064641
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaswant Virk, Physician(253) 833-1735
- License
- MD00048708 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 Auburn Ave
Auburn, WA 98002-5015
Phone: (253) 833-1735
Fax: (253) 833-8515
Street-level locationGet directions
Mailing address
202 Auburn Ave
Auburn, WA 98002-5015
Registry dates
- Enumerated
- 2009-01-21
- Last updated
- 2009-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.