Mortell, Patricia K

Mortell, Patricia K is an individual health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3753. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mortell, Patricia K can be contacted via phone (360) 397-8000.

Contact Information

Primary practice address
1601 E Fourth Plain Blvd Vancouver WA 98661-3753
Fax: (360) 397-8110
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001092 Washington

Profile Details

NPI number 1033324157
LBN Legal business name Mortell, Patricia K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033324157 NPPES
Washington MEDICAID 8265498

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