Individual
BRUCE COLE MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 BIRCHWOOD AVE, SUITE 203, BELLINGHAM, WA 98225-1857
(360) 788-6870
(360) 788-6872
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
2084N0400X
Neurology Physician
Primary
MD00046642
WA
2084V0102X
Vascular Neurology Physician
MD00046642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210417
L&I AND CRIME VICTIMS
WA
05
—
1902837180
—
WA
01
—
4229874
AETNA
WA
01
—
5889MA
REGENCE
WA
Enumeration date
07/05/2006
Last updated
06/20/2019
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