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SNOQUALMIE VALLEY CLINIC, PLLC
NPI 1457492936
Family Medicine in Issaquah, WA

Active since February 09, 2007CLIA 50D0630978 · Microscopy
450 NW GILMAN BLVD STE 203, ISSAQUAH, WA 98027(425) 888-2299(425) 888-1204 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Snoqualmie Valley Clinic, Pllc NPPES

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

SNOQUALMIE VALLEY CLINIC, PLLC (NPI 1457492936) is a healthcare organization registered as a family medicine in Issaquah, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Sheri Moklebust, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1457492936
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSNOQUALMIE VALLEY CLINIC, PLLC
Location Address450 NW GILMAN BLVD STE 203Issaquah, WA 98027-2483
Mailing AddressPo Box 2013Snoqualmie, WA 98065-2013 · (425) 888-2299 · Fax (425) 888-1204
Phone(425) 888-2299
Fax(425) 888-1204
Organization SubpartNo
Authorized OfficialSheri MoklebustClinic Manager · (425) 888-2299
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1457492936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
450 NW GILMAN BLVD STE 203, Issaquah, WA 98027
Open in Google Maps ↗

Other Identifiers 1

Medicaid7020753WA

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0630978

Snoqualmie Valley Clinic · Issaquah, WA
Active · expires Apr 4, 2028
CLIA Number50D0630978
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMaurice B. Doerfler
Laboratory Phone(425) 888-2299
Laboratory LocationSnoqualmie Valley Clinic450 NW Gilman Blvd. Suite 204, Issaquah, WA 98027
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MR. MAURICE LEE DOERFLER MD
Family Medicine
450 NW GILMAN BLVD STE 203
ISSAQUAH, WA 98027
King County (425) 888-2299
COURTNEY LAIRD MONTGOMERY ARNP
Nurse Practitioner (Family)
450 NW GILMAN BLVD STE 203
ISSAQUAH, WA 98027
King County (425) 888-2299

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 Snoqualmie Valley Clinic, PLLC's NPI number?

The NPI number for Snoqualmie Valley Clinic, PLLC is 1457492936. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Snoqualmie Valley Clinic, PLLC located?

Snoqualmie Valley Clinic, PLLC is located at 450 NW Gilman Blvd Ste 203, Issaquah, WA 98027. The listed phone number is (425) 888-2299.

What is Snoqualmie Valley Clinic, PLLC's specialty?

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

Does Snoqualmie Valley Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0630978) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Snoqualmie Valley Clinic, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Snoqualmie Valley Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Snoqualmie Valley Clinic, PLLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.