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Mrs. Revallee Ann Suffern-osburn, LMP
Specialist in Stanwood, Washington
NPI 1316007529

Revallee Ann Suffern-osburn is a Specialist based in Camano Island, WA. Revallee Ann Suffern-osburn practices in Stanwood, WA and has the professional credentials of LMP. The NPI Number for Revallee Ann Suffern-osburn is 1316007529 and holds a License No. MA00019630 (Washington).

The current practice location address for Revallee Ann Suffern-osburn is 9522 271St Street Nw, Stanwood, WA and can be reached out via phone at 360-629-0800 and via fax at 360-629-6042.

Location: 9522 271St Street Nw, Stanwood, WA, 98282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316007529
Provider Name
Revallee Ann Suffern-osburn
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
9522 271St Street Nw, Stanwood, WA, 98282
Phone Number
360-629-0800
Fax Number
360-629-6042
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0187950 01 WA LABOR & INDUSTRIES
163474 01 WA AMTA MEMBER
institution
Provider Business Practice Location Address Details
Address
9522 271St Street Nw
City
Stanwood
State
Washington
Zip
98292
Phone Number
360-629-0800
Fax Number
360-629-6042
person
Provider Business Mailing Address Details
Address
9522 271St Street Nw
City
Stanwood
State
Washington
Zip
98292
Phone Number
360-629-0800
Fax Number
360-629-6042
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00019630 (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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