| Taproot Medicine, Llc | |
|
1108 11th St Ste 102 Bellingham WA 98225-6623 | |
| (360) 605-0444 | |
| Not Available |
| Full Name | Taproot Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1108 11th St Ste 102, Bellingham, Washington |
| Authorized Official Name and Position | Jonathan James Carlson (MEDICAL DIRECTOR, OWNER) |
| Authorized Official Contact | 3606050444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taproot Medicine, Llc 1108 11th St Ste 102 Bellingham WA 98225-6623 Ph: (360) 605-0444 | Taproot Medicine, Llc 1108 11th St Ste 102 Bellingham WA 98225-6623 Ph: (360) 605-0444 |
| NPI Number | 1144803735 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144803735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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