Organization
MT. BAKER NEPHROLOGY ASSOCIATES INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE SCHULTHEIS (OFFICE MANAGER)
(360) 734-9233
Entity
Organization
Contact information
Practice address
410 BIRCHWOOD AVE, SUITE 200, BELLINGHAM, WA 98225-1783
(360) 734-9233
Mailing address
410 BIRCHWOOD AVE, SUITE 200, BELLINGHAM, WA 98225-1783
(360) 734-9233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104029339
MEDICARE NPI
WA
05
—
7021512
—
WA
01
—
G001446800
MEDICARE IDENTIFICATION N
WA
Enumeration date
06/06/2007
Last updated
03/05/2015
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