Organization
MADRONA MEDICAL GROUP P.S. DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT TIDMARSH (PATIENT ACCOUNTS MANAGER)
(360) 738-3300
Entity
Organization
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-3300
(360) 752-5673
Mailing address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-3300
(360) 752-5673
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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