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

Soap Lake Family Medicine

Organization Family Medicine Physician · NPI 1104013556

Soap Lake Family Medicine is a Family Medicine Physician in Soap Lake, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

127 2nd Ave SW
Soap Lake, WA 98851-0958
Phone: (509) 246-0540
Fax: (509) 246-0358
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 PA10001768 (WA)

Record details

NPI number1104013556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bearup — Partner · (509) 246-0540
NPI enumeratedOctober 1, 2007
Last updated in NPPESMarch 31, 2008
Mailing address127 2nd Ave Sw, Soap Lake, WA 98851-0958