MEDICARE: FAMILY CARE NETWORK PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1467006205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE NETWORK PLLC

Provider Business Mailing Address
First Line	:	3610 MERIDIAN ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1732
Country	:	US
Telephone Number	:	360-318-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 W ORCHARD DR STE 7
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1767
Country	:	US
Telephone Number	:	360-483-4509
Fax Number	:	360-734-5751

Authorized Official
Title or Position	:	CEO
Name	:	RODNEY J ANDERSON
Credential	:	MD
Telephone Number	:	360-318-8800

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	06/29/2026

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