Healthcare Provider Details
I. General information
NPI: 1194086579
Provider Name (Legal Business Name): BELLINGHAM ARTHRITIS & RHEUMATOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2012
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
470 BIRCHWOOD AVE SUITE C
BELLINGHAM WA
98225-1781
US
IV. Provider business mailing address
470 BIRCHWOOD AVE SUITE C
BELLINGHAM WA
98225-1781
US
V. Phone/Fax
- Phone: 360-734-5754
- Fax: 360-734-0586
- Phone: 360-734-5754
- Fax: 360-734-0586
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | MD0004725 |
| License Number State | WA |
VIII. Authorized Official
Name:
REBECCA
LYNN
REED
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 360-734-5754