Mark Vandervort, PA-C

Physician Assistant · Bellingham, WA

Individual Active NPI

NPI number 1124214358

Practice location

4280 Meridian St
Ste 120
Bellingham, WA 98226-6464
Phone
(360) 734-4300

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NPI record

NPI
1124214358
Entity type
Individual (Type 1)
Enumeration date
September 21, 2007
Last updated
October 21, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 60055369 WA

About Mark Vandervort

Mark Vandervort, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4280 Meridian St, Ste 120, Bellingham, WA 98226-6464. The NPI number 1124214358 was assigned on September 21, 2007 and the record was last updated on October 21, 2009.

Mark Vandervort lists a license in the registry: #60055369 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Vandervort, PA-C?

The NPI number is 1124214358.

What is the phone number of Mark Vandervort?

The phone number listed for the practice location is (360) 734-4300.

Where is Mark Vandervort located?

4280 Meridian St, Ste 120, Bellingham, WA 98226-6464.

What is the taxonomy code for Mark Vandervort?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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