| Organization Name: | HENRY S. LEVINE, M.D. |
| NPI Number: | 1003957655 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTI L PETERS (OFFICE MANAGER) |
| Mailing Address: | 1326 E Laurel St Bellingham |
| State: | WA US |
| Postal Code: | 982255739 |
| Phone Number: | 3606710383 |
| Fax Number: | 3607568850 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | MD00013425 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |