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

Mark Vandervort, PA-C

Individual provider Physician Assistant · NPI 1124214358

Mark Vandervort, PA-C is a Physician Assistant in Bellingham, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4280 Meridian St Ste 120
Bellingham, WA 98226-6464
Phone: (360) 734-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60055369 (WA)

Record details

NPI number1124214358
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2007
Last updated in NPPESOctober 21, 2009
Mailing address4280 Meridian St, Ste 120, Bellingham, WA 98226-6464

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