Charles Walter
Oral and Maxillofacial Surgeon
3400 Squalicum Pkwy Suite 102
Bellingham
, Washington 98225-1933
Charles Walter
Oral and Maxillofacial Surgeon
3400 Squalicum Pkwy Suite 102
Bellingham
, Washington 98225-1933
(360) 676-5988
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Charles Walter
- 3400 Squalicum Pkwy Suite 102
- Bellingham, WA
- Zip : 98225-1933
- Fax : (360) 676-5988
- Phone : (360) 676-8920
Second Address
- Charles Walter
- 3400 Squalicum Pkwy Suite 102
- Bellingham, WA
- Zip : 98225-1933
- Fax : (360) 676-5988
- Phone : (360) 676-8920
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 5632 | WA |
National Provider Identifier
| NPI | 1093883779 |
|---|---|
| Provider Name | Charles Walter |
| First Address | Bellingham, WA 98225-1933 |
| Second Address | Bellingham, WA 98225-1933 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5030226 | (05) | WA |
| T61010 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.