Healthcare Provider Details

I. General information

NPI: 1326063546
Provider Name (Legal Business Name): TERESA D BELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N WHITMAN ST
TACOMA WA
98407-1547
US

IV. Provider business mailing address

2522 N PROCTOR ST # 42
TACOMA WA
98406-5338
US

V. Phone/Fax

Practice location:
  • Phone: 253-759-3065
  • Fax: 253-759-3075
Mailing address:
  • Phone: 253-759-5236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD00038458
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberM-13664
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD207927
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: