Healthcare Provider Details

I. General information

NPI: 1386565133
Provider Name (Legal Business Name): RUPINDER BHULLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6118 213TH AVENUE CT E
LAKE TAPPS WA
98391-6133
US

IV. Provider business mailing address

6118 213TH AVENUE CT E
LAKE TAPPS WA
98391-6133
US

V. Phone/Fax

Practice location:
  • Phone: 206-280-6395
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number604014502
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: