Organization Active NPI

Northwest Vein Center, PLLC

  • Specialist
  • Bellingham, WA
National Provider Identifier
1780617399
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00012705 Issued in WA
Legal business name
NORTHWEST VEIN CENTER, PLLC
Practice address
3104 Squalicum Pkwy Ste 101
Bellingham, WA 98225-1941
Phone
(360) 733-2557
Fax
(360) 733-4674
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Richard J Jones, MD
Title
MD/Owner
Phone
(360) 733-2557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00012705 WA Primary

Addresses

Primary practice location

3104 Squalicum Pkwy Ste 101
Bellingham, WA 98225-1941

Mailing address

3104 Squalicum Pkwy Ste 101
Bellingham, WA 98225-1941
Phone (360) 733-2557

National Provider Directory

National Provider Directory

Locations

3104 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-2557

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1780617399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 SQUALICUM PKWY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251941",
            "telephone_number": "360-733-2557",
            "fax_number": "360-733-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 SQUALICUM PKWY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251941",
            "telephone_number": "360-733-2557",
            "fax_number": "360-733-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VEIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "360-733-2557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00012705",
            "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 Sep 25, 2007; 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.