Healthcare Provider Details
I. General information
NPI: 1003852500
Provider Name (Legal Business Name): FAMILY CARE NETWORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2006
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3130 SQUALICUM PKWY STE 110
BELLINGHAM WA
98225-1940
US
IV. Provider business mailing address
3610 MERIDIAN ST
BELLINGHAM WA
98225-1732
US
V. Phone/Fax
- Phone: 360-756-0382
- Fax: 360-756-5184
- Phone: 360-318-8800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RODNEY
J
ANDERSON
Title or Position: CEO
Credential: MD
Phone: 360-318-8800