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SOAP LAKE FAMILY MEDICINE
NPI 1104013556
Family Medicine in Soap Lake, WA

Active since October 01, 2007
127 2ND AVE SW, SOAP LAKE, WA 98851(509) 246-0540(509) 246-0358 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soap Lake Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOAP LAKE FAMILY MEDICINE (NPI 1104013556) is a healthcare organization registered as a family medicine in Soap Lake, Washington and active in the NPI registry since October 2007. The organization lists John Thomas Bearup, Partner, as its authorized official.

NPPES Registry Identity

NPI1104013556
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOAP LAKE FAMILY MEDICINE
Location Address127 2ND AVE SWSoap Lake, WA 98851-0958
Mailing Address127 2nd Ave SwSoap Lake, WA 98851-0958 · (509) 246-0540 · Fax (509) 246-0358
Phone(509) 246-0540
Fax(509) 246-0358
Organization SubpartNo
Authorized OfficialJohn Thomas BearupPartner · (509) 246-0540
Enumeration DateOctober 1, 2007
Last NPPES UpdateMarch 31, 2008
✔ NPI 1104013556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · PA10001768
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
127 2ND AVE SW, Soap Lake, WA 98851
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soap Lake Family Medicine's NPI number?

The NPI number for Soap Lake Family Medicine is 1104013556. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Soap Lake Family Medicine located?

Soap Lake Family Medicine is located at 127 2nd Ave SW, Soap Lake, WA 98851. The listed phone number is (509) 246-0540.

What is Soap Lake Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Soap Lake Family Medicine was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.