Individual
HANNAH ROSE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12919 109TH AVENUE CT E, PUYALLUP, WA 98374-3091
(253) 324-8078
Mailing address
12919 109TH AVENUE CT E, PUYALLUP, WA 98374-3091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
101Y00000X
WA
101Y00000X
Counselor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202575639WA
—
WA
01
—
BYR834300258
BCBS
WA
Enumeration date
07/24/2020
Last updated
07/24/2020
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