# PUBLIC HOSPITAL DISTRICT NO. 4, KING COUNTY WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
- **Other names:** Snoqualmie Valley Hospital Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346280922
- **Legal business name:** PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON
- **Authorized official:** BARBI DONOVAN (MSS & PE MANAGER)
- **Authorized official phone:** (425) 831-2321

## Contact information

- **Practice address:** 9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
- **Practice address phone:** (425) 831-2300
- **Practice address fax:** (425) 831-2361
- **Mailing address:** 9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
- **Mailing address phone:** (425) 831-2321
- **Mailing address fax:** (425) 689-1306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | 602 427 233 | WA | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 12/16/2025