# MARK W. SHEAFOR, DPM, PS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508176991
- **Authorized official:** DR. MARK W SHEAFOR DPM (OWNER)
- **Authorized official phone:** (360) 647-0557

## Contact information

- **Practice address:** 3120 SQUALICUM PKWY, SUITE 2, BELLINGHAM, WA 98225-1934
- **Practice address phone:** (360) 647-0557
- **Practice address fax:** (360) 733-2892
- **Mailing address:** 3120 SQUALICUM PKWY, SUITE 2, BELLINGHAM, WA 98225-1934
- **Mailing address phone:** (360) 647-0557
- **Mailing address fax:** (360) 733-2892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PO 60134920 | WA | Yes |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 10/19/2014