VALLEY CHILDREN'S CLINIC NPI 1063628576

NPI Information

  • NPI: 1063628576
  • Provider Name: VALLEY CHILDREN'S CLINIC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 50D0630810
  • Address: 4011 TALBOT RD S STE 220
    RENTON, WA
    ZIP 98055
  • Phone: (425) 656-5300

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NPI Details

VALLEY CHILDREN'S CLINIC is an adolescent medicine pediatrics in Renton, WA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. VALLEY CHILDREN'S CLINIC NPI is 1063628576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4011 TALBOT RD S STE 220
RENTON, WA
ZIP 98055-791
Phone: (425) 656-5300

The provider's authorized official is Kathy Mcbride .
The authorized official title is Clinic Administrator and has the following contact phone number (425) 656-5350.

The CLIA number assigned to this NPI record is 50D0630810 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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