Healthcare Provider Details

I. General information

NPI: 1164471884
Provider Name (Legal Business Name): THOMAS ARTHUR OLIVER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2979 SQUALICUM PKWY SUITE 101
BELLINGHAM WA
98225-1811
US

IV. Provider business mailing address

PO BOX 5096
BELLINGHAM WA
98227-5096
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 Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00046172
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD00046172
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: