Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gallant Lion Medical

Organization Family Nurse Practitioner · NPI 1114548104

Gallant Lion Medical is a Family Nurse Practitioner in Bellingham, Washington. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

500 Birchwood Ave Ste A
Bellingham, WA 98225-1703
Phone: (916) 296-7909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1114548104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Jackson — Owner · (916) 296-7909
NPI enumeratedApril 30, 2020
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address500 Birchwood Ave Ste A, Bellingham, WA 98225-1703

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