Individual
DR. LINDA J. BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 SQUALICUM PKWY, SUITE 160, BELLINGHAM, WA 98225-1945
(360) 671-4402
(360) 671-9463
Mailing address
873 HINOTES CT, SUITE 1, LYNDEN, WA 98264-9043
(360) 318-9705
(360) 318-8735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027685
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128739
LABOR & INDUSTRIES (REG)
WA
01
—
07780
REGENCE BLUESHIELD
WA
05
—
1061548
—
WA
01
—
8925061
LABOR & INDUSTRIES (CV)
WA
Enumeration date
05/26/2006
Last updated
11/09/2007
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