Provider Demographics
NPI:1710219712
Name:BELLINGHAM WOMEN'S HEALTH, PLLC
Entity Type:Organization
Organization Name:BELLINGHAM WOMEN'S HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE-MIDWIFE, DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:WARNER
Authorized Official - Last Name:MALNOR
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, ARNP
Authorized Official - Phone:360-676-2762
Mailing Address - Street 1:PO BOX 1231
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227-1231
Mailing Address - Country:US
Mailing Address - Phone:360-676-2762
Mailing Address - Fax:360-676-2762
Practice Address - Street 1:3015 SQUALICUM PKWY STE 250
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1946
Practice Address - Country:US
Practice Address - Phone:360-676-2762
Practice Address - Fax:360-676-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9619305Medicaid
WAP89255OtherMEDICARE