Healthcare Provider Details

I. General information

NPI: 1497661102
Provider Name (Legal Business Name): BRETT ANDREW SMITH CPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 ELLIS ST
BELLINGHAM WA
98225-1904
US

IV. Provider business mailing address

3130 ELLIS ST
BELLINGHAM WA
98225-1904
US

V. Phone/Fax

Practice location:
  • Phone: 360-734-4404
  • Fax: 360-734-7409
Mailing address:
  • Phone: 360-734-4404
  • Fax: 360-734-7409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberMAPC.PC.61142355
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: