Healthcare Provider Details

I. General information

NPI: 1396862637
Provider Name (Legal Business Name): PATRICIA L BJARNASON M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 SPRING ST STE 1
FRIDAY HARBOR WA
98250-9376
US

IV. Provider business mailing address

53 ISLE OF VIEW RD
FRIDAY HARBOR WA
98250-8248
US

V. Phone/Fax

Practice location:
  • Phone: 360-370-5226
  • Fax:
Mailing address:
  • Phone: 360-370-5421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL00002953
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: