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FERN LIFE CENTER
NPI 1245623024
Clinic/Center - Health Service in Issaquah, WA

Active since March 18, 2015
410 NEWPORT WAY NW, SUITE B, ISSAQUAH, WA 98027(425) 391-3376(425) 391-3378 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fern Life Center NPPES

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

FERN LIFE CENTER (NPI 1245623024) is a healthcare organization registered as a health service in Issaquah, Washington and active in the NPI registry since March 2015. The organization lists Elizabeth Tillman Fitzgerald, Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1245623024
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFERN LIFE CENTER
Location Address410 NEWPORT WAY NW, SUITE BIssaquah, WA 98027-3116
Mailing Address410 Newport Way Nw, Suite BIssaquah, WA 98027-3116 · (425) 391-3376 · Fax (425) 391-3378
Phone(425) 391-3376
Fax(425) 391-3378
Organization SubpartNo
Authorized OfficialElizabeth Tillman FitzgeraldNutritionist · (425) 391-3376
Enumeration DateMarch 18, 2015
✔ NPI 1245623024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in WA · 020710DI00000858
410 NEWPORT WAY NW, Issaquah, WA 98027
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FITZGERALD R.D.
Dietitian, Registered
410 NEWPORT WAY NW, SUITE B
ISSAQUAH, WA 98027
King County (425) 391-3376

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 Fern Life Center's NPI number?

The NPI number for Fern Life Center is 1245623024. It was assigned to this organization in the NPPES registry on March 18, 2015.

Where is Fern Life Center located?

Fern Life Center is located at 410 Newport Way NW Suite B, Issaquah, WA 98027. The listed phone number is (425) 391-3376.

What is Fern Life Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Fern Life Center was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.