Individual
MR. STEVEN L BELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
176 1ST AVE N, ILWACO, WA 98624-0319
(360) 642-3747
(360) 642-3361
Mailing address
PO BOX N, 176 1ST AVE N, ILWACO, WA 98624-0319
(360) 642-3747
(360) 642-3361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003595
WA
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012BE
BCBS
WA
01
—
102563
L & I
WA
Enumeration date
09/12/2005
Last updated
05/21/2020
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