Healthcare Provider Details

I. General information

NPI: 1003957655
Provider Name (Legal Business Name): HENRY S. LEVINE, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 E LAUREL ST
BELLINGHAM WA
98225-5739
US

IV. Provider business mailing address

1326 E LAUREL ST
BELLINGHAM WA
98225-5739
US

V. Phone/Fax

Practice location:
  • Phone: 360-671-0383
  • Fax: 360-756-8850
Mailing address:
  • Phone: 360-671-0383
  • Fax: 360-756-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00013425
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberMD00013425
License Number StateWA

VIII. Authorized Official

Name: KRISTI L PETERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 360-671-0383