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

Longevity Medical Clinic

Organization Specialist · NPI 1023231172

Longevity Medical Clinic is a Specialist in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

9757 NE Juanita Dr Ste 200
Kirkland, WA 98034-4299
Phone: (425) 576-9272
Fax: (425) 576-0894
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD23643 (WA)

Record details

NPI number1023231172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Mixon — Medical Director · (425) 576-9272
NPI enumeratedApril 10, 2007
Last updated in NPPESJune 21, 2011
Mailing address9757 Ne Juanita Dr, Suite 200, Kirkland, WA 98034-4299

Other providers in Kirkland