Individual
DR. PATTI JO BRETTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(336) 042-8259
(360) 428-2560
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00043392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0263653
LABOR & INDUSTRIES
WA
05
—
1215998125
—
WA
Enumeration date
03/30/2006
Last updated
06/08/2012
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