LAKE FOREST PARK MEDICAL CLINIC
NPI 1548222102
Family Medicine in Lake Forest Park, WA

Q: What is Lake Forest Park Clinic Tr's NPI number?

The NPI number for Lake Forest Park Clinic Tr is 1548222102. It was assigned to this organization in the NPPES registry on April 6, 2006. The provider is doing business as Lake Forest Park Medical Clinic.

Q: What is Lake Forest Park Clinic Tr's specialty?

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

Active since April 06, 2006

17191 BOTHELL WAY NE, LAKE FOREST PARK, WA 98155(206) 365-6768(206) 364-5418 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lake Forest Park Medical Clinic NPPES

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

LAKE FOREST PARK MEDICAL CLINIC (NPI 1548222102) is a healthcare organization registered as a family medicine in Lake Forest Park, Washington and active in the NPI registry since April 2006. The organization lists Charles William Schneider, Pres/ceo, as its authorized official.

NPPES Registry Identity

NPI1548222102

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKE FOREST PARK CLINIC TR

Location Address17191 BOTHELL WAY NELake Forest Park, WA 98155-5534

Mailing Address17191 Bothell Way Ne, Suite 205Lake Forest Park, WA 98155-5534 · (206) 365-6768 · Fax (206) 364-5418

Phone(206) 365-6768

Fax(206) 364-5418

Organization SubpartNo

Authorized OfficialCharles William SchneiderPres/ceo · (206) 368-1700

Enumeration DateApril 6, 2006

Last NPPES UpdateApril 21, 2011

✔ NPI 1548222102 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.

17191 BOTHELL WAY NE, Lake Forest Park, WA 98155

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Other Names 1

Doing Business AsLake Forest Park Medical Clinic

Other Identifiers 3

Medicare PINAB25977

OtherCJ6346WA · Railroad Medicare

Medicare PINGAB25977

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

Other Providers at the Same Location NPPES 14

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

MR. CHARLES FREDRICK EBSWORTH D.D.S.

Dentist (General Practice)

17191 BOTHELL WAY NE, SUITE 201
LAKE FOREST PARK, WA 98155

King County (206) 362-0152

KAREN LYNNE MILLER MD

Internal Medicine

17191 BOTHELL WAY NE, SUITE 205
LAKE FOREST PARK, WA 98155

King County (206) 364-8272

FRED EBSWORTH DDS PS

Clinic/Center (Dental)

17191 BOTHELL WAY NE, SUITE 201
LAKE FOREST PARK, WA 98155

King County (206) 362-0152

LESLIE S NEWTON MD

Family Medicine

17191 BOTHELL WAY NE, STE 205
LAKE FOREST PARK, WA 98155

King County (206) 364-8272

ROBYN PHILLIPS-MADSON DO

Family Medicine

17191 BOTHELL WAY NE, STE 205
LAKE FOREST PARK, WA 98155

King County (206) 364-8272

MS. REBECCA LYNN OLSON ARNP

Nurse Practitioner (Family)

17191 BOTHELL WAY NE, SUITE 205
LAKE FOREST PARK, WA 98155

King County (206) 364-8272

X-CEL ENTERPRISES, INC.

Clinic/Center (Physical Therapy)

17191 BOTHELL WAY NE, SUITE B203
LAKE FOREST PARK, WA 98155

King County (206) 367-6069

MS. EMILY PEARSON EASLEY ARNP

Nurse Practitioner (Family)

17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155

King County (206) 364-8272

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 Lake Forest Park Clinic Tr's NPI number?

The NPI number for Lake Forest Park Clinic Tr is 1548222102. It was assigned to this organization in the NPPES registry on April 6, 2006. The provider is doing business as Lake Forest Park Medical Clinic.

Where is Lake Forest Park Clinic Tr located?

Lake Forest Park Clinic Tr is located at 17191 Bothell Way NE, Lake Forest Park, WA 98155. The listed phone number is (206) 365-6768.

What is Lake Forest Park Clinic Tr'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 Lake Forest Park Clinic Tr was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.