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GALLANT LION MEDICAL
NPI 1114548104
Nurse Practitioner - Family in Bellingham, WA

Active since April 30, 2020
500 BIRCHWOOD AVE STE A, BELLINGHAM, WA 98225(916) 296-7909 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gallant Lion Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GALLANT LION MEDICAL (NPI 1114548104) is a healthcare organization registered as a family in Bellingham, Washington and active in the NPI registry since April 2020. The organization lists Robin Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114548104
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGALLANT LION MEDICAL
Location Address500 BIRCHWOOD AVE STE ABellingham, WA 98225-1703
Mailing Address500 Birchwood Ave Ste ABellingham, WA 98225-1703 · (916) 296-7909
Phone(916) 296-7909
Organization SubpartNo
Authorized OfficialRobin JacksonOwner · (916) 296-7909
Enumeration DateApril 30, 2020
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1114548104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
500 BIRCHWOOD AVE STE A, Bellingham, WA 98225
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gallant Lion Medical's NPI number?

The NPI number for Gallant Lion Medical is 1114548104. It was assigned to this organization in the NPPES registry on April 30, 2020.

Where is Gallant Lion Medical located?

Gallant Lion Medical is located at 500 Birchwood Ave Ste A, Bellingham, WA 98225. The listed phone number is (916) 296-7909.

What is Gallant Lion Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gallant Lion Medical was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.