# MADRONA MEDICAL GROUP, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madrona Sleep Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598756777
- **Authorized official:** SANDY MELLOTT (DIRECTOR CLINICAL SERVICES)
- **Authorized official phone:** (360) 738-2200

## Contact information

- **Practice address:** 4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
- **Practice address phone:** (360) 738-2200
- **Mailing address:** 4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
- **Mailing address phone:** (360) 738-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 08/22/2020