LAKESHORE CLINIC BOTHELL
NPI 1841399870
Family Medicine in Bothell, WA

Q: What is Lakeshore Clinic PLLC's NPI number?

The NPI number for Lakeshore Clinic PLLC is 1841399870. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is also known as Lakeshore Clinic Bothell.

Q: What is Lakeshore Clinic PLLC's specialty?

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

Active since September 22, 2006

10025 NE 186TH ST, BOTHELL, WA 98011(425) 486-9131(425) 486-9490 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeshore Clinic Bothell NPPES

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

LAKESHORE CLINIC BOTHELL (NPI 1841399870) is a healthcare organization registered as a family medicine in Bothell, Washington and active in the NPI registry since September 2006. The organization lists Linda R Jeppesen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841399870

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKESHORE CLINIC PLLC

Location Address10025 NE 186TH STBothell, WA 98011-3839

Mailing AddressPo Box 646Bothell, WA 98041-0646 · (425) 485-3955 · Fax (425) 485-1476

Phone(425) 486-9131

Fax(425) 486-9490

Organization SubpartNo

Authorized OfficialLinda R JeppesenCeo · (425) 486-9131

Enumeration DateSeptember 22, 2006

Last NPPES UpdateOctober 11, 2012

✔ NPI 1841399870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

10025 NE 186TH ST, Bothell, WA 98011

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Other Names 1

Other NameLakeshore Clinic Bothell

Other Identifiers 2

Medicare NSC0812480003WA

Medicare ID-Type Unspecified217116700Medicare Group Number

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

Other Providers at the Same Location NPPES 16

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

KELLY P GRENNER ARNP-FNP

Nurse Practitioner (Family)