Individual
MICHAEL LEE BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2385
(360) 414-2386
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00036071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124142
LABOR & IND.
WA
05
—
158941
—
OR
05
—
8230583
—
WA
01
—
8922099
CRIME VICTIMS
WA
Enumeration date
07/01/2005
Last updated
07/09/2007
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