OrganizationActive
Public Hospital District #1 of King County
NPI 1649227380 · Adult Medicine Physician · Renton, WA
Provider details
- NPI number
- 1649227380
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Farley, Technical Coordinator(425) 917-6282
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14410 Se Petrovitsky Rd
Suite 104
Renton, WA 98058-8900
Phone: (425) 656-4242
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Lind Ave Sw
Renton, WA 98055-4934
Other names (DBA / former)
- Doing business as
- Vmc Fairwood Primary Care
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2008-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.