MEDICARE: CHPWHATCOM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	261QP2400X	Prison Health Clinic/Center

General Provider Information

NPI Number	:	1093660854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHPWHATCOM INC

Provider Business Mailing Address
First Line	:	311 GRAND AVE
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4048
Country	:	US
Telephone Number	:	360-778-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 GRAND AVE
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4048
Country	:	US
Telephone Number	:	360-778-6530
Fax Number	:

Authorized Official
Title or Position	:	HEALTH SERVICES ADMINISTRATOR
Name	:	EMILY BLAKE
Credential	:	RN
Telephone Number	:	360-223-7521

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	04/17/2026

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Directions to “CHPWHATCOM INC ” Practice Location

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