MEDICARE: ASTHMA & ALLERGY CENTER OF WHATCOM COUNTY, P.S.

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	207K00000X	Allergy & Immunology Physician	MD00031780	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245293802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTHMA & ALLERGY CENTER OF WHATCOM COUNTY, P.S.

Provider Business Mailing Address
First Line	:	PO BOX 5495
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98415-0495
Country	:	US
Telephone Number	:	360-756-2000
Fax Number	:	360-756-2111

Provider Business Practice Location Address
First Line	:	2075 BARKLEY BLVD
Second Line	:	STE 220
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6614
Country	:	US
Telephone Number	:	360-756-2000
Fax Number	:	360-756-2111

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. WILLIAM HOWARD ANDERSON
Credential	:	M.D.
Telephone Number	:	360-756-2000

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	10/11/2007

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Directions to “ASTHMA & ALLERGY CENTER OF WHATCOM COUNTY, P.S. ” Practice Location

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