NPI 1225147218

Bradley a Tate

Practitioner Optician Vancouver, WA

Practice location

Address: 14406 NE 20th Ave, Vancouver, WA 98686-1448
Phone: (360) 571-3084
Mailing address: 15311 SE Bybee Dr, Portland, OR 97236-7858

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence CERTEFIED (OR)

Other Technician/Technologist providers in Washington →

Registry record

NPI: 1225147218
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.