MEDICARE: CARY S KAUFMAN 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	208600000X	Surgery Physician	MD00014269	WA
2	2086X0206X	Surgical Oncology Physician	MD00014269	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50394	OTHER	WA	DEPT OF LABOR INDUSTRIES
2	8923151	OTHER	WA	CRIME VICTIMS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841290947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARY S KAUFMAN MD

Provider Business Mailing Address
First Line	:	2075 BARKLEY BLVD STE 250
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6614
Country	:	US
Telephone Number	:	360-671-9877
Fax Number	:	360-733-2882

Provider Business Practice Location Address
First Line	:	2075 BARKLEY BLVD STE 250
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6614
Country	:	US
Telephone Number	:	360-671-9877
Fax Number	:	360-733-2882

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	04/07/2020

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Directions to “ CARY S KAUFMAN MD” Practice Location

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