Provider Demographics
NPI:1275064354
Name:BELLAIRS, JOSEPH ANDREW
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANDREW
Last Name:BELLAIRS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356515
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6515
Mailing Address - Country:US
Mailing Address - Phone:206-598-4022
Mailing Address - Fax:
Practice Address - Street 1:34612 6TH AVE S STE 200
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8723
Practice Address - Country:US
Practice Address - Phone:253-833-4050
Practice Address - Fax:253-735-5083
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61016895207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck