Provider Demographics
NPI:1295157477
Name:BLISS, PAULA SUNSHINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:SUNSHINE
Last Name:BLISS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13819 76TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-7005
Mailing Address - Country:US
Mailing Address - Phone:720-979-5355
Mailing Address - Fax:
Practice Address - Street 1:851 MOORE ST
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-1238
Practice Address - Country:US
Practice Address - Phone:360-856-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70140183500000X
WAPH6046189183500000X
CO19135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist