Provider Demographics
NPI:1598723942
Name:ADRIANCE, MARK L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:L
Last Name:ADRIANCE
Suffix:
Gender:M
Credentials:MD
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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 1:709 W ORCHARD DR
Practice Address - Street 2:SUITE 4
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1766
Practice Address - Country:US
Practice Address - Phone:360-318-8800
Practice Address - Fax:360-318-1085
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2012-07-24
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Provider Licenses
StateLicense IDTaxonomies
WAMD00015299207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1068105Medicaid
WA7852ADOtherREGENCE BLUESHIELD
WA8752ADOtherREGENCE BLUESHIELD
WA3252ADOtherREGENCE BLUESHIELD
WA4852ADOtherREGENCE BLUESHIELD
WA8932695OtherL&I CRIME VICTIM
WA0718ADOtherREGENCE BLUESHIELD
WA9782ADOtherREGENCE BLUESHIELD
WA080147963OtherRR MEDICARE
WA4324ADOtherREGENCE BLUESHIELD
WA0130089OtherL&I REGULAR
WA423898-034OtherGROUP HEATLH COOPERATIVE
WA9782ADOtherREGENCE BLUESHIELD
WA7852ADOtherREGENCE BLUESHIELD