Individual
ASTRID OCTAVIA BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-C, PEER COUNSELOR
Contact information
Practice address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
Mailing address
23 S LOMBARD AVE, EAST WENATCHEE, WA 98802-5140
(509) 885-0608
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM61121062
MEDICAL ASSISTANT CERTIFICATION
WA
Enumeration date
11/17/2022
Last updated
11/17/2022
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