Individual provider · Type 1 NPI
Revallee Ann Suffern-Osburn, L.M.P.
Specialist · Stanwood, WA
NPI number
1316007529
Active
Practice location
9522 271st Street NW
Stanwood, WA 98292
Fax (360) 629-6042
Mailing address
632 Laura Drive
Camano Island, WA 98282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00019630 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Darleen Mary Kildow, LMHC, NCCSpecialist Stanwood, WA NPI 1730150533
- Heather WebbSpecialist Stanwood, WA NPI 1811276082
- Alisha Shireen Marion, LMPSpecialist Stanwood, WA NPI 1881833242
- Patrick J. Santel, LMPSpecialist Stanwood, WA NPI 1922547413
About NPI 1316007529
Revallee Ann Suffern-Osburn, L.M.P.'s National Provider Identifier is 1316007529, issued on Dec 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stanwood, WA. The record was last updated on Jul 8, 2007.