Healthcare Provider Details

I. General information

NPI: 1326565110
Provider Name (Legal Business Name): FAMILY CARE NETWORK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 SQUALICUM PKWY STE 110
BELLINGHAM WA
98225-1940
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 360-756-0382
  • Fax: 360-756-5184
Mailing address:
  • Phone: 360-318-8800
  • Fax: 360-318-1085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY J ANDERSON
Title or Position: CEO
Credential: MD
Phone: 360-318-8800