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FAMILY MEDICINE LIBERTY LAKE
NPI 1790013175
Family Medicine in Liberty Lake, WA

Active since November 24, 2009CLIA 50D2001522 · Microscopy
2207 N MOLTER RD, SUITE 203, LIBERTY LAKE, WA 99019(509) 928-6700 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Medicine Liberty Lake NPPES

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

FAMILY MEDICINE LIBERTY LAKE (NPI 1790013175) is a healthcare organization registered as a family medicine in Liberty Lake, Washington and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Susan Lynn Ashley, Owner, as its authorized official.

NPPES Registry Identity

NPI1790013175
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE LIBERTY LAKE
Location Address2207 N MOLTER RD, SUITE 203Liberty Lake, WA 99019-7570
Mailing Address2207 N Molter Rd, Suite 203Liberty Lake, WA 99019-7570 · (509) 928-6700
Phone(509) 928-6700
Organization SubpartNo
Authorized OfficialSusan Lynn AshleyOwner · (509) 720-4050
Enumeration DateNovember 24, 2009
Last NPPES UpdateApril 30, 2015
✔ NPI 1790013175 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 · MD00028821
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.

2207 N MOLTER RD, Liberty Lake, WA 99019
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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) 50D2001522

Family Medicine Liberty Lake PC · Liberty Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2001522
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Ashley
Laboratory Phone(509) 924-6199
Laboratory LocationFamily Medicine Liberty Lake PC1431 N Liberty Lake Rd Ste A, Liberty Lake, WA 99019
CLIA data matches this NPI record on: Name
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 14

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

DR. DANIEL NYLE GARN OD
Optometrist
2207 N MOLTER RD, SUITE 100
LIBERTY LAKE, WA 99019
Spokane County (509) 893-7574
MICHELLE RENEE OLMSTEAD DDS
Dentist (General Practice)
2207 N MOLTER RD, SUITE 200
LIBERTY LAKE, WA 99019
Spokane County (509) 891-5001
DR. MICHAEL P CONDON DDS
Dentist (General Practice)
2207 N MOLTER RD
LIBERTY LAKE, WA 99019
Spokane County (509) 926-5272
STEVEN O THOMAS MD
Non-Pharmacy Dispensing Site
2207 N MOLTER RD
LIBERTY LAKE, WA 99019
Spokane County (509) 473-5850
MRS. KELLY ANN HICKEY L.M.T.
Massage Therapist
2207 N MOLTER RD, SUITE 250
LIBERTY LAKE, WA 99019
Spokane County (509) 893-9939
MRS. MELISSA RENEE GREGORIUS LMP
Massage Therapist
2207 N MOLTER RD, SUITE 250
LIBERTY LAKE, WA 99019
Spokane County (509) 893-9939
LIBERTY LAKE FAMILY & SPORTS MEDICINE, P.S.
Family Medicine (Sports Medicine)
2207 N MOLTER RD, STE 101
LIBERTY LAKE, WA 99019
Spokane County (509) 921-7755
LIBERTY LAKE FAMILY DENTISTRY
Dentist (General Practice)
2207 N MOLTER RD, SUITE 200
LIBERTY LAKE, WA 99019
Spokane County (509) 891-5001

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 Family Medicine Liberty Lake's NPI number?

The NPI number for Family Medicine Liberty Lake is 1790013175. It was assigned to this organization in the NPPES registry on November 24, 2009.

Where is Family Medicine Liberty Lake located?

Family Medicine Liberty Lake is located at 2207 N Molter Rd Suite 203, Liberty Lake, WA 99019. The listed phone number is (509) 928-6700.

What is Family Medicine Liberty Lake's specialty?

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

Does Family Medicine Liberty Lake hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2001522) 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 Family Medicine Liberty Lake accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Family Medicine Liberty Lake 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 Family Medicine Liberty Lake was last updated on April 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.