Bavor, Kordale Tre

Bavor, Kordale Tre is an individual health care provider with primary practice located at 10004 204Th Ave E Ste 1300 , Bonney Lake WA 98391-6537. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Bavor, Kordale Tre can be contacted via phone (253) 848-8797.

Contact Information

Primary practice address
10004 204Th Ave E Ste 1300 Bonney Lake WA 98391-6537
Phone: (253) 848-8797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 61422757 Washington

Profile Details

NPI number 1659984631
LBN Legal business name Bavor, Kordale Tre
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Aug 22nd, 2023 - about 2 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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