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MOUNT BAKER RHEUMATOLOGY CENTER PLLC NPI 1467649376


NPI Information

NPI: 1467649376
Provider Name: MOUNT BAKER RHEUMATOLOGY CENTER PLLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 50D0634202

Address:
500 BIRCHWOOD AVE
SUITE C
BELLINGHAM, WA
ZIP 98225
Phone: (360) 676-1610
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MOUNT BAKER RHEUMATOLOGY CENTER PLLC is a rheumatology internal medicine in Bellingham, WA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MOUNT BAKER RHEUMATOLOGY CENTER PLLC NPI is 1467649376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 BIRCHWOOD AVE
SUITE C
BELLINGHAM, WA
ZIP 98225-704
Phone: (360) 676-1610
Fax: (360) 676-2459

The provider's authorized official is David Edward Wisner .
The authorized official title is Delegated Official and has the following contact phone number (360) 676-1610.

The CLIA number assigned to this NPI record is 50D0634202 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/25/2007 and was last updated on 2/20/2008.


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
1207RR0500XInternal MedicineRheumatology16552WASHINGTONYes

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
17138068MEDICAIDWASHINGTON

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.