Philip M. Andress Jr., D.O.

Individual provider Active NPI Family Medicine Physician · Bellingham, WA

NPI 1164512596 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164512596
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
OP00000760 (WA)
Practice address
2790 N Shore Rd
Bellingham, WA 98226-9406
Phone
(360) 671-6373
NPI assigned
Oct 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP00000760WAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00000760 WA Yes

Addresses

Primary practice location

2790 N Shore Rd
Bellingham, WA 98226-9406

Mailing address

2790 N Shore Rd
Bellingham, WA 98226-9406

Other providers in Bellingham, WA

All providers in Bellingham, WA · Family Medicine Physician in Washington

Sources for this page

Verify at the official NPI Registry.