Organization
PEACEHEALTH
Active
Other names
PeaceHealth Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE J ZENDER (CFO)
(360) 788-6797
Entity
Organization
Contact information
Practice address
4545 CORDATA PARKWAY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5673
Mailing address
2901 SQUALICUM PARKWAY, BELLINGHAM, WA 98225-1898
(360) 734-5400
(360) 756-3552
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009382
—
WA
Enumeration date
06/17/2008
Last updated
10/10/2013
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