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

Lake Forest Park Clinic Tr

Organization Family Medicine Physician · NPI 1548222102

Lake Forest Park Clinic Tr is a Family Medicine Physician in Lake Forest Park, Washington. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

17191 Bothell Way NE
Lake Forest Park, WA 98155-5534
Phone: (206) 365-6768
Fax: (206) 364-5418
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1548222102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Schneider — Pres/Ceo · (206) 368-1700
Other names Lake Forest Park Medical Clinic
NPI enumeratedApril 6, 2006
Last updated in NPPESApril 21, 2011
Mailing address17191 Bothell Way Ne, Suite 205, Lake Forest Park, WA 98155-5534

Other providers in Lake Forest Park