Individual
SCOTT MICHAEL LETELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 SQUALICUM PKWY, BELLINGHAM, WA 98225-1919
(360) 788-8222
(360) 788-7759
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60459476
WA
207RH0000X
Hematology (Internal Medicine) Physician
MD60459476
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD60459476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09028051
—
MS
Enumeration date
04/27/2011
Last updated
02/20/2019
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