# ASSOCIATED VALLEY PROVIDERS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043490543
- **Authorized official:** DR. JOHN L VANDERHEYDEN M.D. (OWNER)
- **Authorized official phone:** (425) 255-5111

## Contact information

- **Practice address:** 4361 TALBOT RD S, SUITE 112, RENTON, WA 98055-6226
- **Practice address phone:** (425) 255-5111
- **Practice address fax:** (425) 254-0985
- **Mailing address:** 4361 TALBOT RD S, SUITE 112, RENTON, WA 98055-6226
- **Mailing address phone:** (425) 255-5111
- **Mailing address fax:** (425) 254-0985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | WA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | WA | — |
| 363L00000X | Nurse Practitioner | — | WA | — |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 09/22/2009