Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JEWELENE RAE PATTULLO
ActiveOptician, Dispensing · VANCOUVER, WA
Registration Details
- NPI Number
- 1760599609
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2006 (19.662533985067 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DO00001723 (WA)
Practice Information
- Address
-
14406 NE 20TH AVEVANCOUVER, WA, 986861448Browse WA providers · Browse ZIP 98686
- Phone
- 3604186001
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA VIRGINIA GRAHAM | — | 1356457824 |
| BRADLEY A TATE | — | 1225147218 |
| 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.