Provider Demographics
NPI:1437150224
Name:BACHMAN, BARBARA A (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 SQUALICUM PKWY
Mailing Address - Street 2:STE 101
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1892
Mailing Address - Country:US
Mailing Address - Phone:360-671-9878
Mailing Address - Fax:360-671-9688
Practice Address - Street 1:2940 SQUALICUM PKWY
Practice Address - Street 2:STE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1892
Practice Address - Country:US
Practice Address - Phone:360-671-9877
Practice Address - Fax:360-671-9688
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038982208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8934212OtherCRIME VICTIMS
WA1111426Medicaid
WA140285OtherDEPT OF LABOR AND INDUSTR
WA8934212OtherCRIME VICTIMS
WA140285OtherDEPT OF LABOR AND INDUSTR