Organization
BELLINGHAM NATURAL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY D DEROUSSEAU (BILLING MANAGER)
(360) 752-9569
Entity
Organization
Contact information
Practice address
1810 BROADWAY, BELLINGHAM, WA 98225-3133
(360) 738-7654
(360) 738-8155
Mailing address
1810 BROADWAY, BELLINGHAM, WA 98225-3133
(360) 738-7654
(360) 738-8155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NT00001035
WA
207Q00000X
Family Medicine Physician
NT00001641
WA
363LF0000X
Family Nurse Practitioner
AP60092299
WA
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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