Individual
CHARLES H BOMBARDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001312
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8132383
—
WA
01
—
8492
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
07/08/2007
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