Healthcare Provider Details

I. General information

NPI: 1629031752
Provider Name (Legal Business Name): WILLIAM HOWARD ANDERSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 ELLIS ST
BELLINGHAM WA
98225-1904
US

IV. Provider business mailing address

PO BOX 5127
EVERETT WA
98206-5127
US

V. Phone/Fax

Practice location:
  • Phone: 425-339-5412
  • Fax: 360-363-4750
Mailing address:
  • Phone: 206-860-5414
  • Fax: 206-720-8462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD00031780
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: