MEDICARE: DR. ANDREW SAMUEL BARLOON MD

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	207W00000X	Ophthalmology Physician	MD00030214	WA

General Provider Information

NPI Number	:	1457350670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW SAMUEL BARLOON MD

Provider Business Mailing Address
First Line	:	22232 17TH AVE SE STE 308
Second Line	:
City	:	BOTHELL
State	:	WA
Zip	:	98021-7425
Country	:	US
Telephone Number	:	425-296-3837
Fax Number	:	206-215-3870

Provider Business Practice Location Address
First Line	:	1750 112TH AVE NE
Second Line	:	SUITE D050
City	:	BELLEVUE
State	:	WA
Zip	:	98004-3752
Country	:	US
Telephone Number	:	206-215-3850
Fax Number	:	206-215-3870

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	08/21/2023

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