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

Cottonwood Creek Clinic LLC

Organization Internal Medicine Physician · NPI 1134523855

Cottonwood Creek Clinic LLC is an Internal Medicine Physician in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2014.

Licensed in
AK
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3600 E Wickersham Way
Wasilla, AK 99654-7550
Phone: (907) 373-5950
Fax: (907) 373-5954
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1011473 (AK)

Record details

NPI number1134523855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Blake — Owner · (907) 373-5950
NPI enumeratedOctober 9, 2014
Last updated in NPPESMarch 7, 2023
Certification dateFebruary 14, 2020
Mailing address3600 E Wickersham Way, Wasilla, AK 99654-7550

Other providers in Wasilla