BELLINGHAM UROLOGY SPECIALISTS PLLC NPI 1417038019

NPI Information

  • NPI: 1417038019
  • Provider Name: BELLINGHAM UROLOGY SPECIALISTS PLLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 50D0897376
  • Address: 340 BIRCHWOOD AVE
    BELLINGHAM, WA
    ZIP 98225
  • Phone: (360) 671-9197

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NPI Details

BELLINGHAM UROLOGY SPECIALISTS PLLC 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. BELLINGHAM UROLOGY SPECIALISTS PLLC NPI is 1417038019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 BIRCHWOOD AVE
BELLINGHAM, WA
ZIP 98225-782
Phone: (360) 671-9197
Fax: (360) 676-7730

The provider's authorized official is Soren N Carlsen .
The authorized official title is Owner Doctor and has the following contact phone number (360) 671-9197.

The CLIA number assigned to this NPI record is 50D0897376 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 2/20/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology602558844WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17138879MEDICAIDWASHINGTON
2G8864655MEDICARE PINWASHINGTON
38864655MEDICARE 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: 11/21/2025

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