Healthcare Provider Details

I. General information

NPI: 1982519633
Provider Name (Legal Business Name): ELIZABETH ANNE JANZEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4043 NORTHWEST AVE
BELLINGHAM WA
98226-9071
US

IV. Provider business mailing address

4043 NORTHWEST AVE
BELLINGHAM WA
98226-9071
US

V. Phone/Fax

Practice location:
  • Phone: 360-734-4300
  • Fax: 360-734-2128
Mailing address:
  • Phone: 360-734-4300
  • Fax: 360-734-2128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1251666
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: