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Contact Information

ANTHONY FERRER BETHENCOURT, DHA, MPH, BSHPE, EMT
11882 POSSESSION WAY
MUKILTEO, WA98275-5174
 Phone: 206-274-6614
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

261QC1500X
 

Clinic/Center

261Q00000X
 

Emergency Care

261QE0002X
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Health Educator

174H00000X
 

Public Health, Federal

261QP0904X
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for

NPI Number 1811657554
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/21/2021
Last updated 08/08/2025 - About 10 months ago
Identifiers
UT License # 2002065006
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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