Mr. Bradley Gail Jellerichs
Dermatologist Family Doctor - Addiction Medicine Nurse Practitioner - Family Medicine
34616 11th Pl S Ste 2
Federal Way
, Washington 98003-8705
Mr. Bradley Gail Jellerichs
Dermatologist Family Doctor - Addiction Medicine Nurse Practitioner - Family Medicine
34616 11th Pl S Ste 2
Federal Way
, Washington 98003-8705
(425) 835-3394
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About
Features
Specialties
- Dermatologist
- Family Doctor - Addiction Medicine
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mr. Bradley Gail Jellerichs
- 1100 Bellevue Way Ne Ste 8a Pmb 324
- Bellevue, WA
- Zip : 98004-5721
- Phone : (425) 835-3394
Second Address
- Mr. Bradley Gail Jellerichs
- 34616 11th Pl S Ste 2
- Federal Way, WA
- Zip : 98003-8705
- Phone : (425) 835-3394
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Is Mr. Bradley Gail Jellerichs a sole practitioner?
Is Mr. Bradley Gail Jellerichs accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 60128753 | WA |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 60128753 | WA |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP60128753 | WA |
National Provider Identifier
| NPI | 1841436417 |
|---|---|
| Provider Name | Mr. Bradley Gail Jellerichs |
| First Address | Bellevue, WA 98004-5721 |
| Second Address | Federal Way, WA 98003-8705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2008 |
| Last Update Date | 15/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.