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PACIFIC RIM UROLOGY NPI 1295883700


NPI Information

NPI: 1295883700
Provider Name: PACIFIC RIM UROLOGY

Former Legal Business Name: CASCADE UROLOGY CONSULTANTS P. S. INC

Classification: Urology - 208800000X
Entity Type: Organization
Address:
2980 SQUALICUM PARKWAY
SUITE 306
BELLINGHAM, WA
ZIP 98225
Phone: (360) 671-1327
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PACIFIC RIM UROLOGY is an urology in Bellingham, WA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PACIFIC RIM UROLOGY NPI is 1295883700. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Cascade Urology Consultants P. S. Inc.

The provider's business location address is:

2980 SQUALICUM PARKWAY
SUITE 306
BELLINGHAM, WA
ZIP 98225
Phone: (360) 671-1327
Fax: (360) 756-2206

The provider's authorized official is Mansel K Kevwitch .
The authorized official title is Owner and has the following contact phone number (360) 671-1327.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology601949981WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17097090MEDICAIDWASHINGTON
2GAB09690MEDICARE PINWASHINGTON
3AB09690MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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