Basic Information
| Provider Information | |||||||||
| NPI: | 1457390007 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALEXANDER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 709 W ORCHARD DR | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982251766 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603188800 | ||||||||
| FaxNumber: | 3603181085 | ||||||||
| Practice Location | |||||||||
| Address1: | 1601 GROVER ST | ||||||||
| Address2: | SUITE D1 | ||||||||
| City: | LYNDEN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982641226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603541333 | ||||||||
| FaxNumber: | 3603544399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2006 | ||||||||
| LastUpdateDate: | 06/15/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD00017680 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 05145 | 01 | WA | REGENCE BLUESHIELD | OTHER | 080147959 | 01 | WA | RAILROAD MEDICARE | OTHER | 1756501 | 05 | WA | MEDICAID | 0128918 | 01 | WA | LABOR & INDUSTRIES (REG) | OTHER | 192942506 | 01 | WA | L&I FEDERAL -USDOL | OTHER | 8925056 | 01 | WA | LABOR & INDUSTRIES (CV) | OTHER | 423898001 | 01 | WA | GROUP HEALTH COOPERATIVE | OTHER |