MEDICARE: FAMILY CARE NETWORK PLLC

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	207Q00000X	Family Medicine Physician	602079976	WA

General Provider Information

NPI Number	:	1912900234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE NETWORK PLLC

Provider Business Mailing Address
First Line	:	709 W. ORCHARD
Second Line	:	STE. 4
City	:	BELLINGHAM
State	:	WA
Zip	:	98225
Country	:	US
Telephone Number	:	360-318-8800
Fax Number	:	360-318-1085

Provider Business Practice Location Address
First Line	:	2116 E. SECTION ST.
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98274
Country	:	US
Telephone Number	:	360-428-1700
Fax Number	:	360-848-4312

Authorized Official
Title or Position	:	CEO
Name	:	RODNEY J ANDERSON
Credential	:	MD
Telephone Number	:	360-318-8800

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	06/13/2025

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