1. Home
  2. Directory
  3. Washington
  4. Oak Harbor
  5. Clinic Center
  6. NPI Profile

WHIDBEY MEDICAL CLINIC PLLC
NPI 1548260177
Clinic/Center in Oak Harbor, WA

Active since July 26, 2005CLIA 50D0882365 · Microscopy
231 SE BARRINGTON DR, SUITE 209, OAK HARBOR, WA 98277(360) 679-3161(360) 679-1741 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Whidbey Medical Clinic Pllc NPPES

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

WHIDBEY MEDICAL CLINIC PLLC (NPI 1548260177) is a healthcare organization registered as a clinic/center in Oak Harbor, Washington and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Robert L Lycksell, Owner, as its authorized official.

NPPES Registry Identity

NPI1548260177
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWHIDBEY MEDICAL CLINIC PLLC
Location Address231 SE BARRINGTON DR, SUITE 209Oak Harbor, WA 98277-3200
Mailing Address231 Se Barrington Dr, Suite 209Oak Harbor, WA 98277-3200 · (360) 679-3161 · Fax (360) 679-1741
Phone(360) 679-3161
Fax(360) 679-1741
Organization SubpartNo
Authorized OfficialRobert L LycksellOwner · (360) 679-3161
Enumeration DateJuly 26, 2005
Last NPPES UpdateDecember 4, 2009
✔ NPI 1548260177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
231 SE BARRINGTON DR, Oak Harbor, WA 98277
Open in Google Maps ↗

Other Identifiers 3

OtherCC9056WA · Railroad Medicare
OtherS57923WA · Blue Cross/shield
Medicare PING001148100WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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) 50D0882365

Whidbey Medical Clinic · Oak Harbor, WA
Active · expires Apr 4, 2028
CLIA Number50D0882365
Laboratory TypeOther
Certificate Effective DateFebruary 1, 1994
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRobert L. Lycksell
Laboratory Phone(360) 679-3161
Laboratory LocationWhidbey Medical Clinic830 SE Ireland, Oak Harbor, WA 98277
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 20

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

MRS. MEGHAN CAVANAUGH CRESSOTTI
Behavior Analyst
231 SE BARRINGTON DR, SUITE 203
OAK HARBOR, WA 98277
Island County (360) 240-0022
MRS. LINDA L. MARTINEZ
Behavior Analyst
231 SE BARRINGTON DR, SUITE 203
OAK HARBOR, WA 98277
Island County (360) 240-0022
SARAH BEATRICE CZLAPINSKI
Behavior Analyst
231 SE BARRINGTON DR, SUITE 203
OAK HARBOR, WA 98277
Island County (360) 240-0022
MRS. ANGELA DUSTINA WARD
Behavior Analyst
231 SE BARRINGTON DR, SUITE 203
OAK HARBOR, WA 98277
Island County (360) 240-0022
STACEY HOTTER-KNIGHT
Behavior Analyst
231 SE BARRINGTON DR, SUITE 203
OAK HARBOR, WA 98277
Island County (559) 265-2209
BRANDON BOELTER
Behavior Analyst
231 SE BARRINGTON DR
OAK HARBOR, WA 98277
Island County (360) 240-0022
JARED SWIFT
Behavior Analyst
231 SE BARRINGTON DR
OAK HARBOR, WA 98277
Island County (330) 831-5538
DANIELLE CALLAHAN
Behavior Analyst
231 SE BARRINGTON DR, SUITE 203
OAK HARBOR, WA 98277
Island County (360) 240-0022

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 Whidbey Medical Clinic PLLC's NPI number?

The NPI number for Whidbey Medical Clinic PLLC is 1548260177. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Whidbey Medical Clinic PLLC located?

Whidbey Medical Clinic PLLC is located at 231 SE Barrington Dr Suite 209, Oak Harbor, WA 98277. The listed phone number is (360) 679-3161.

What is Whidbey Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Whidbey Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0882365) 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 Whidbey Medical Clinic PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Whidbey Medical 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 Whidbey Medical Clinic PLLC was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.