Individual
MEGAN B ELLINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 DOUGLAS AVE, BELLINGHAM, WA 98225-6930
(360) 733-5877
(360) 788-6884
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00047064
WA
207R00000X
Internal Medicine Physician
MD166330
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
L&I
WA
01
—
8050EL
BLUE SHIELD
WA
05
—
8468381
—
WA
01
—
US7732922
AETNA
WA
Enumeration date
10/18/2006
Last updated
04/27/2018
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