Healthcare Provider Details

I. General information

NPI: 1659321586
Provider Name (Legal Business Name): NORTH CASCADE CARDIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2979 SQUALICUM PKWY STE 101
BELLINGHAM WA
98225-1813
US

IV. Provider business mailing address

2979 SQUALICUM PKWY STE 101
BELLINGHAM WA
98225-1813
US

V. Phone/Fax

Practice location:
  • Phone: 360-734-2700
  • Fax: 360-734-8362
Mailing address:
  • Phone: 360-734-2700
  • Fax: 360-734-8362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE D HUFFMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 360-734-2700