Healthcare Provider Details

I. General information

NPI: 1427440221
Provider Name (Legal Business Name): ALEX ADAMS WERTHEIMER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 W ORCHARD DR STE 4
BELLINGHAM WA
98225-1766
US

IV. Provider business mailing address

709 W ORCHARD DR STE 4
BELLINGHAM WA
98225-1766
US

V. Phone/Fax

Practice location:
  • Phone: 360-318-8800
  • Fax:
Mailing address:
  • Phone: 360-318-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License NumberOP61124751
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number61124751
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: