Individual
JOHN W TILLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 UNITY ST, BELLINGHAM, WA 98225-4420
(360) 676-6177
(360) 671-3574
Mailing address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00030045
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199778
L & I NUMBER
WA
05
—
8161119
—
WA
Enumeration date
01/04/2007
Last updated
07/29/2021
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