Foundation Family Medicine

Organization Active NPI Family Medicine Physician · Deer Park, WA

NPI 1093636185 · NPPES record last updated Jul 23, 2026

Key facts

NPI
1093636185
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
FOUNDATION FAMILY MEDICINE
Practice address
28124 N Short Rd
Deer Park, WA 99006-9777
Phone
(509) 990-8986
NPI assigned
Jul 23, 2026
Organization subpart
No

Authorized official

Name
Joseph P Kreilkamp, PA-C
Title
Physician Assistant/Owner
Phone
(509) 990-8986

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

28124 N Short Rd
Deer Park, WA 99006-9777

Mailing address

28124 N Short Rd
Deer Park, WA 99006-9777
Phone (509) 990-8986

Other providers in Deer Park, WA

All providers in Deer Park, WA · Family Medicine Physician in Washington

Sources for this page

Verify at the official NPI Registry.