MEDICARE: PAUSE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1184320160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUSE, PLLC

Provider Business Mailing Address
First Line	:	2314 JAEGER ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-2116
Country	:	US
Telephone Number	:	425-996-5822
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 N COMMERCIAL ST STE 310
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4437
Country	:	US
Telephone Number	:	360-230-8436
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER THORN SCANLON
Credential	:	MD
Telephone Number	:	425-996-5822

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	02/01/2023

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