# VALLEY MEDICAL GROUP-RENTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUBLIC HOSPITAL DISTRICT \#1 OF KING COUNTY
- **Other names:** Public Hospital District \#1 of King County
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619209574
- **Legal business name:** PUBLIC HOSPITAL DISTRICT \#1 OF KING COUNTY
- **Authorized official:** MICHELE FORGUES LACKIE (SENIOR VICE PRESIDENT FINANCE/CFO)
- **Authorized official phone:** (425) 690-6677

## Contact information

- **Practice address:** 400 S 43RD ST, RENTON, WA 98055-5714
- **Practice address phone:** (425) 228-3440
- **Practice address fax:** (425) 656-5565
- **Mailing address:** PO BOX 34876, SEATTLE, WA 98124-1876
- **Mailing address phone:** (425) 656-5412
- **Mailing address fax:** (425) 656-4096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H-155 | WA | — |
| 207R00000X | Internal Medicine Physician | H-155 | WA | — |
| 207T00000X | Neurological Surgery Physician | H-155 | WA | — |
| 207VG0400X | Gynecology Physician | H-155 | WA | — |
| 207W00000X | Ophthalmology Physician | H-155 | WA | — |
| 208000000X | Pediatrics Physician | H-155 | WA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2084N0400X | Neurology Physician | H-155 | WA | — |
| 208600000X | Surgery Physician | H-155 | WA | — |
| 2086S0129X | Vascular Surgery Physician | H-155 | WA | — |
| 208M00000X | Hospitalist Physician | H-155 | WA | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 282N00000X | General Acute Care Hospital | H-155 | WA | Yes |
| 363L00000X | Nurse Practitioner | H-155 | WA | — |
| 367A00000X | Advanced Practice Midwife | H-155 | WA | — |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 03/22/2023