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1477550796

NPI Code Detail

MEDICARE: WILLIAM D. RUBIN M.D.

MEDICARE: WILLIAM D. RUBIN 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	207RH0003X	Hematology & Oncology Physician	MD00030567	WA
2	174400000X	Specialist	MD00030567	WA
3	207RX0202X	Medical Oncology Physician	MD00030567	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0229981	OTHER	WA	L&I AND CRIME VICTIMS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9285RO	OTHER	WA	REGENCE
4	0230383	OTHER	WA	L&I
5	5257668	OTHER	WA	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477550796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM D. RUBIN M.D.

Provider Business Mailing Address
First Line	:	1115 SE 164TH AVE
Second Line	:	DEPT 364
City	:	VANCOUVER
State	:	WA
Zip	:	98683-9324
Country	:	US
Telephone Number	:	360-788-8222
Fax Number	:	360-788-7759

Provider Business Practice Location Address
First Line	:	3301 SQUALICUM PKWY
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1919
Country	:	US
Telephone Number	:	360-788-8222
Fax Number	:	360-788-7759

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	01/08/2021

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Directions to “ WILLIAM D. RUBIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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