Provider Demographics
NPI:1326094426
Name:BINDER, RICHARD H
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:BINDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:3015 SQUALICUM PKWY
Practice Address - Street 2:SUITE 160
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1945
Practice Address - Country:US
Practice Address - Phone:360-671-4402
Practice Address - Fax:360-671-9463
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00032038207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8925060OtherLABOR & INDUSTRIES (CV)
WA68287OtherREGENCE BLUESHIELD
WA9825060OtherLABOR & INDUSTRIES (CV)
WA423898045OtherGROUP HEALTH COOPERATIVE
WA080183663OtherRAILROAD MEDICARE
WA8167454Medicaid
WA080183663OtherRAILROAD MEDICARE
WA8925060OtherLABOR & INDUSTRIES (CV)