Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bonney Lake Medical Center

Organization Specialist · NPI 1700056587

Bonney Lake Medical Center provides Specialist services in Bonney Lake, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008

Practice location Address checks out

20631 Hwy 410 E Ste 303
Bonney Lake, WA 98390-6390 Not confirmed with CMS for 18 years — call before visiting
Phone: (253) 891-2160
Fax: (253) 891-2171
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD00036489 (WA)

Record details

NPI number1700056587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mythili Arigala — Owner · (253) 891-2160
NPI enumeratedMarch 7, 2008
Last updated in NPPESMarch 7, 2008
Mailing address20631 Hwy 410 E., Ste 303, Bonney Lake, WA 98390-6390

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