Provider Demographics
NPI:1740576438
Name:REED, ALETTE MAE (MMP LMT)
Entity type:Individual
Prefix:MS
First Name:ALETTE
Middle Name:MAE
Last Name:REED
Suffix:
Gender:F
Credentials:MMP LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W EVERGREEN BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3453
Mailing Address - Country:US
Mailing Address - Phone:360-718-8306
Mailing Address - Fax:360-718-8306
Practice Address - Street 1:210 W EVERGREEN BLVD STE 500
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3453
Practice Address - Country:US
Practice Address - Phone:360-718-8306
Practice Address - Fax:360-718-8306
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60214286174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist