Healthcare Provider Details

I. General information

NPI: 1609142843
Provider Name (Legal Business Name): JULIE MARIE TEA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE TEA CONRAD M.D.

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 SQUALICUM PKWY
BELLINGHAM WA
98225-1851
US

IV. Provider business mailing address

305 SOUTH L ST.
TACOMA WA
98405
US

V. Phone/Fax

Practice location:
  • Phone: 360-738-2200
  • Fax:
Mailing address:
  • Phone: 253-403-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA128531
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA128531
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD60573479
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD60573479
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: