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

Valley Medical Group-Renton

Organization Family Medicine Physician · NPI 1619209574

Valley Medical Group-Renton is a Family Medicine Physician in Renton, Washington. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010
Specialties on file
15

Practice location Address checks out

400 S 43rd St
Renton, WA 98055-5714
Phone: (425) 228-3440
Fax: (425) 656-5565
Show map & directions

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

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence H-155 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence H-155 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence H-155 (WA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence H-155 (WA)
Gynecology Physician Taxonomy 207VG0400X · Licence H-155 (WA)
Ophthalmology Physician Taxonomy 207W00000X · Licence H-155 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence H-155 (WA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Neurology Physician Taxonomy 2084N0400X · Licence H-155 (WA)
Surgery Physician Taxonomy 208600000X · Licence H-155 (WA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence H-155 (WA)
Hospitalist Physician Taxonomy 208M00000X · Licence H-155 (WA)
Community/Behavioral Health Agency Taxonomy 251S00000X
Nurse Practitioner Taxonomy 363L00000X · Licence H-155 (WA)
Advanced Practice Midwife Taxonomy 367A00000X · Licence H-155 (WA)

Record details

NPI number1619209574
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPublic Hospital District #1 of King County
Authorized official Michele Forgues Lackie — Senior Vice President Finance/Cfo · (425) 690-6677
Other names Public Hospital District #1 Of King County; Public Hospital District #1 Of King County
NPI enumeratedFebruary 3, 2010
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing addressPo Box 34876, Seattle, WA 98124-1876

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