Individual
DENISE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60468344
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60468344
WA
Other
Enumeration date
02/14/2011
Last updated
01/11/2022
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