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

Family Medicine Liberty Lake

Organization Family Medicine Physician · NPI 1790013175

Family Medicine Liberty Lake is a Family Medicine Physician in Liberty Lake, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009

Practice location Address checks out

2207 N Molter Rd Ste 203
Liberty Lake, WA 99019-7570
Phone: (509) 928-6700
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00028821 (WA)

Record details

NPI number1790013175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Ashley — Owner · (509) 720-4050
NPI enumeratedNovember 24, 2009
Last updated in NPPESApril 30, 2015
Mailing address2207 N Molter Rd, Suite 203, Liberty Lake, WA 99019-7570

Other providers in Liberty Lake