Michael James Poulos
Occupational Therapist Hand
1611 Broadway
Bellingham
, Washington 98225-3039
Michael James Poulos
Occupational Therapist Hand
1611 Broadway
Bellingham
, Washington 98225-3039
(660) 671-3366
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About
Features
Specialties
- Hand
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Michael James Poulos
- Po Box 1557
- Bellingham, WA
- Zip : 98227-1557
- Fax : (660) 671-3366
- Phone : (360) 676-4263
Second Address
- Michael James Poulos
- 1611 Broadway
- Bellingham, WA
- Zip : 98225-3039
- Fax : (360) 671-3366
- Phone : (360) 676-4263
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251H1200X | Hand | ||
| Y | 225X00000X | Occupational Therapist |
National Provider Identifier
| NPI | 1154302081 |
|---|---|
| Provider Name | Michael James Poulos |
| First Address | Bellingham, WA 98227-1557 |
| Second Address | Bellingham, WA 98225-3039 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 06/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0156374 | LABOR AND INDUSTRIES (01) | WA |
| 1960076 | FIRST HEALTH (01) | |
| 5692P0 | REGENCE BLUE SHIELD (01) | WA |
| 7682388 | (05) | WA |
| 8935446 | CRIME VICTIMS LABOR AND I (01) | 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.