MEDICARE: JOHN LOCH TRIMINGHAM M.D.

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	207X00000X	Orthopaedic Surgery Physician	MD00009888	WA
2	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	MD00009888	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00705537	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4469959	OTHER	WA	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0229994	OTHER	WA	L&I AND CRIME VICTIMS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1678	OTHER	WA	REGENCE

General Provider Information

NPI Number	:	1205833613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LOCH TRIMINGHAM M.D.

Provider Business Mailing Address
First Line	:	1115 SE 164TH AVE
Second Line	:	DEPT 358
City	:	VANCOUVER
State	:	WA
Zip	:	98683-9324
Country	:	US
Telephone Number	:	336-078-8773
Fax Number	:	360-752-5653

Provider Business Practice Location Address
First Line	:	4280 MERIDIAN ST
Second Line	:	SUITE 110
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6464
Country	:	US
Telephone Number	:	360-788-7733
Fax Number	:	360-676-7471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	02/01/2017

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Directions to “ JOHN LOCH TRIMINGHAM M.D.” Practice Location

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