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SAM CHILD EGGERTSEN MD
NPI 1457359507
Family Medicine in Kenmore, WA

Active since July 12, 2005
6016 NE BOTHELL WAY, STE G, KENMORE, WA 98028(425) 486-0658 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sam Child Eggertsen Md NPPES

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

SAM CHILD EGGERTSEN MD (NPI 1457359507) is an individual family medicine provider in Kenmore, Washington, licensed in Washington (MD00016014) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1457359507
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAM CHILD EGGERTSENCredential: MD
Location Address6016 NE BOTHELL WAY, STE GKenmore, WA 98028-9403
Mailing Address403 E Meeker St, Ste 300Kent, WA 98030-5904
Phone(425) 486-0658
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457359507 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 · MD00016014
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.
6016 NE BOTHELL WAY, Kenmore, WA 98028
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Other Providers at the Same Location NPPES 4

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

CARL GOLDEN LMHC
Counselor (Mental Health)
6016 NE BOTHELL WAY, STE G
KENMORE, WA 98028
King County (425) 219-4325
ALARO M LAWSON ARNP
Nurse Practitioner
6016 NE BOTHELL WAY, STE G
KENMORE, WA 98028
King County (425) 486-0658
JULIE A COLIN MD
Family Medicine
6016 NE BOTHELL WAY, STE G
KENMORE, WA 98028
King County (425) 486-0658
KIMBERLY ANN WILSON LMP
Massage Therapist
6016 NE BOTHELL WAY, SUITE B
KENMORE, WA 98028
King County (425) 486-2844

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 Sam Eggertsen's NPI number?

The NPI number for Sam Eggertsen is 1457359507. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Sam Eggertsen located?

Sam Eggertsen practices at 6016 NE Bothell Way Ste G, Kenmore, WA 98028. The listed phone number is (425) 486-0658.

What is Sam Eggertsen'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 Sam Eggertsen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.