Provider Demographics
NPI:1740357136
Name:THOMPSON, VALERIE LYNN (LMP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 HARRIS AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7062
Mailing Address - Country:US
Mailing Address - Phone:360-734-2882
Mailing Address - Fax:
Practice Address - Street 1:1101 HARRIS AVE
Practice Address - Street 2:SUITE 25
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7062
Practice Address - Country:US
Practice Address - Phone:360-734-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9531174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0110668OtherLABOR & INDUSTRIES