Provider Demographics
NPI:1205833613
Name:TRIMINGHAM, JOHN LOCH (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:LOCH
Last Name:TRIMINGHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 SE 164TH AVE
Mailing Address - Street 2:DEPT 358
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9324
Mailing Address - Country:US
Mailing Address - Phone:336-078-8773
Mailing Address - Fax:360-752-5653
Practice Address - Street 1:4280 MERIDIAN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6464
Practice Address - Country:US
Practice Address - Phone:360-788-7733
Practice Address - Fax:360-676-7471
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00009888207X00000X, 207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4469959OtherAETNA
WAP00705537OtherRAILROAD MEDICARE
WA1205833613Medicaid
WA0229994OtherL&I AND CRIME VICTIMS
WA1286400Medicaid
WA1678OtherREGENCE
WA1678OtherREGENCE
WAG8873088Medicare PIN