Healthcare Provider Details

I. General information

NPI: 1104140318
Provider Name (Legal Business Name): FAMILY CARE NETWORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 S 3RD ST
MOUNT VERNON WA
98273-4324
US

IV. Provider business mailing address

709 W ORCHARD DR STE 4
BELLINGHAM WA
98225-1766
US

V. Phone/Fax

Practice location:
  • Phone: 360-336-5658
  • Fax: 360-336-5655
Mailing address:
  • Phone: 360-318-8800
  • Fax: 360-318-1085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RODNEY ANDERSON
Title or Position: CEO
Credential: MD
Phone: 360-318-8800