Search › Washington › 122400000X

Mark Bird

NPI 1134392392 · on the registry since 2008 · sole proprietor

Practice

Address
214 Washington Ave.
Orting, WA 98360
Phone
(253) 759-0350

Registry record

Primary taxonomy
122400000X
122400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington