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 provides Family Nurse Practitioner services 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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