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

Prime Care PLLC

Organization Internal Medicine Physician · NPI 1578035200

Prime Care PLLC is an Internal Medicine Physician in Bothell, Washington. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202
Phone: (206) 538-6300
Fax: (206) 538-6301
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1578035200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Moon — Contracting Coordinator · (206) 538-6300
NPI enumeratedDecember 19, 2018
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address801 Sw 16th St Ste 121, Renton, WA 98057-2628

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