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Derrick Bridges, LMP
Specialist in Renton, Washington
NPI 1144435256

Derrick Bridges is a Specialist based in Renton, WA. Derrick Bridges practices in Renton, WA and has the professional credentials of LMP. The NPI Number for Derrick Bridges is 1144435256 and holds a License No. MA00020141 (Washington).

The current practice location address for Derrick Bridges is 10622 Se Carr Rd, Renton, WA and can be reached out via phone at 425-277-2225 and via fax at 425-277-1591.

Location: 10622 Se Carr Rd, Renton, WA, 98055-5824
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Provider Profile Details
NPI Number
1144435256
Provider Name
Derrick Bridges
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
10622 Se Carr Rd, Renton, WA, 98055-5824
Phone Number
425-277-2225
Fax Number
425-277-1591
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0191632 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
10622 Se Carr Rd
City
State
Zip
98055-5824
Phone Number
425-277-2225
Fax Number
425-277-1591
person
Provider Business Mailing Address Details
Address
10622 Se Carr Rd
City
State
Zip
98055-5824
Phone Number
425-277-2225
Fax Number
425-277-1591
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA00020141 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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