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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY A TATE

Active Sole Proprietor

BRADLEY A TATE is a Optician, Dispensing healthcare provider located in VANCOUVER, Washington. NPI 1225147218 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · VANCOUVER, WA

Registration Details

NPI Number
1225147218
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.923072291632 yrs)
Last Updated
Jul 8, 2007
License
CERTEFIED (OR)
Sole Proprietor
Yes

Practice Information

Address
14406 NE 20TH AVE
VANCOUVER, WA, 986861448
Browse WA providers · Browse ZIP 98686
Phone
3605713084
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in VANCOUVER, WA

Name Credential NPI
CYNTHIA VIRGINIA GRAHAM 1356457824
MRS. JEWELENE RAE PATTULLO 1760599609
JAMIE LYNN TURNER DISPENSING OPTICIAN 1093825986
MR. MATTHEW E SURONEN L.D.O 1235249053
KARRIE ANN JUSTICE 1942311782
MRS. LISA ANN PETERS 1427169259
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.