Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Associated Valley Providers PLLC

Organization Family Medicine Physician · NPI 1043490543

Associated Valley Providers PLLC is a Family Medicine Physician in Renton, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4361 Talbot Rd S Ste 112
Renton, WA 98055-6226
Phone: (425) 255-5111
Fax: (425) 254-0985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (WA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (WA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X (WA)
Nurse Practitioner Taxonomy 363L00000X (WA)

Record details

NPI number1043490543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Vanderheyden — Owner · (425) 255-5111
NPI enumeratedNovember 13, 2007
Last updated in NPPESSeptember 22, 2009
Mailing address4361 Talbot Rd S, Suite 112, Renton, WA 98055-6226

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