Organization
MOUNT BAKER KIDNEY CENTER, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARK LEHMAN MHA, CPA (CFO)
(800) 525-9059
Entity
Organization
Contact information
Practice address
410 BIRCHWOOD AVE, SUITE 100, BELLINGHAM, WA 98225-1783
(360) 734-4243
(360) 715-9858
Mailing address
410 BIRCHWOOD AVE, SUITE 100, BELLINGHAM, WA 98225-1783
(360) 734-4243
(360) 715-9858
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3999000
—
WA
Enumeration date
05/11/2006
Last updated
03/03/2012
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