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

Innovative Care Clinic

Organization Specialist · NPI 1346518925

Innovative Care Clinic is a Specialist in Mill Creek, Washington. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1700 132nd St SE Ste L
Mill Creek, WA 98012-5309
Phone: (425) 338-1555
Fax: (425) 338-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1346518925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fernanda Velderrain — Office Manager · (425) 338-1555
NPI enumeratedDecember 9, 2011
Last updated in NPPESDecember 9, 2011
Mailing address1700 132nd St Se, Suite L, Mill Creek, WA 98012-5309

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