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

Totem Lake Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1023215514

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

Licensed in
WA
In the registry since
2007
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

11800 NE 128th St Ste 560
Kirkland, WA 98034-7208
Phone: (425) 899-5200
Fax: (425) 285-3108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence BUS14337 (WA)

Record details

NPI number1023215514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Miyauchi — Partner · (425) 899-5200
NPI enumeratedJune 28, 2007
Last updated in NPPESMay 11, 2012
Mailing address11800 Ne 128th St, Ste. 560, Kirkland, WA 98034-7208

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