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Individual

JENNIFER A BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5580 NORDIC WAY, FERNDALE, WA 98248-5104
(360) 384-1511
(360) 384-5758
Mailing address
3610 MERIDIAN ST, BELLINGHAM, WA 98225-1732
(360) 318-8800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037647
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0188849
LABOR & INDUSTRIES (REG)
WA
01
423898071
GROUP HEALTH COOPERATIVE
WA
01
4582BA
REGENCE BLUESHIELD
WA
05
8252249
WA
01
8938884
LABOR & INDUSTRIES (CV)
WA
01
P00181773
RAILROAD MEDICARE
WA
Enumeration date
06/21/2006
Last updated
04/27/2026
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