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Individual

DR. HENRY S LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1112 11TH STREET, 301, BELLINGHAM, WA 98225
(360) 671-0383
(360) 756-8850
Mailing address
1112 11TH STREET, 301, BELLINGHAM, WA 98225
(360) 671-0383
(360) 756-8850

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD00013425
WA
2084P0800X
Psychiatry Physician
Primary
MD00013425
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03490
REGENCE
WA
01
107476001
GROUP HEALTH COOPERTIVE
WA
Enumeration date
01/31/2007
Last updated
07/08/2012
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