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VASHON PLAZA MEDICAL CLINIC
NPI 1629352984
Family Medicine in Vashon, WA

Active since October 05, 2011
17639 100TH AVE SW, VASHON, WA 98070(206) 463-3696 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vashon Plaza Medical Clinic NPPES

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

VASHON PLAZA MEDICAL CLINIC (NPI 1629352984) is a healthcare organization registered as a family medicine in Vashon, Washington and active in the NPI registry since October 2011. The organization lists Gail Lynn Fulton, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1629352984
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFULTON FAMILY MEDICINE,PLLC
Location Address17639 100TH AVE SWVashon, WA 98070-5234
Mailing AddressPo Box NVashon, WA 98070-0360 · (206) 463-3696
Phone(206) 463-3696
Organization SubpartNo
Authorized OfficialGail Lynn FultonPhysician Owner · (206) 463-3696
Enumeration DateOctober 5, 2011
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1629352984 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 · MD00027813
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.
17639 100TH AVE SW, Vashon, WA 98070
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Other Names 1

Other NameVashon Plaza Medical Clinic

Other Identifiers 2

Medicaid8126757WA
Medicare UPINA66252WA

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 2

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

KAY FREY ARNP
Nurse Practitioner (Pediatrics)
17639 100TH AVE SW
VASHON, WA 98070
King County (206) 463-3696
JULIE ANN MCPHERSON ARNP
Nurse Practitioner (Family)
17639 100TH AVE SW
VASHON, WA 98070
King County (206) 463-3696

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 Fulton Family Medicine,pllc's NPI number?

The NPI number for Fulton Family Medicine,pllc is 1629352984. It was assigned to this organization in the NPPES registry on October 5, 2011. The provider is also known as Vashon Plaza Medical Clinic.

Where is Fulton Family Medicine,pllc located?

Fulton Family Medicine,pllc is located at 17639 100th Ave SW, Vashon, WA 98070. The listed phone number is (206) 463-3696.

What is Fulton Family Medicine,pllc'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 Fulton Family Medicine,pllc was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.