Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD00038458 | WA |
N | 208600000X | Surgeon | MD00038458 | WA |
Y | 2086S0102X | Surgical Critical Care | MD207927 | OR |
NPI | 1326063546 |
---|---|
Provider Name | Teresa D Bell |
First Address | Tacoma, WA 98406-5338 |
Second Address | Tacoma, WA 98407-1547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F82194 | (02) | WA |