Organization
NORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L PERSSE (CHIEF ADMINISTRATIVE OFFICER)
(360) 543-5054
Entity
Organization
Contact information
Practice address
3111 WOBURN ST STE 201, BELLINGHAM, WA 98226-6610
(360) 734-1420
(360) 733-1659
Mailing address
3111 WOBURN ST STE 201, BELLINGHAM, WA 98226-6610
(360) 734-1420
(360) 733-1659
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7048408
—
WA
Enumeration date
12/08/2006
Last updated
05/24/2023
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