Organization Active NPI

Harbor Integrative Medicine

  • Clinic/Center
  • Bellingham, WA
National Provider Identifier
1003349127
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NT60316767 Issued in WA
Legal business name
HARBOR INTEGRATIVE MEDICINE
Practice address
2114 James St
Bellingham, WA 98225-4140
Phone
(360) 527-5232
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Traci Ann Pantuso, ND
Title
ND and Owner
Phone
(360) 527-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NT60316767 WA Primary

Addresses

Primary practice location

2114 James St
Bellingham, WA 98225-4140

Mailing address

2114 James St
Bellingham, WA 98225-4140
Phone (360) 527-5232

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1003349127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254140",
            "telephone_number": "360-527-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254140",
            "telephone_number": "360-527-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "PANTUSO",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ND AND OWNER",
        "authorized_official_telephone_number": "360-527-5232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "NT60316767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.