Bryce Leo Vradenburg | Everett, WA • PECOS Search

Bryce Leo Vradenburg

Social Worker

Behavioral Health & Social Service Providers

4526 Federal Ave, Building #1, Everett, WA 98203-2132

PECOS Enrollment

Based on the most recent information from CMS, provider Bryce Leo Vradenburg does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053644955
Provider Type
Individual
Full Name
Vradenburg, Bryce Leo
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
No
Enumeration Date
9/9/2009
Last Updated
9/9/2009

Contact Information

Practice Location

4526 Federal Ave, Building #1, Everett, WA 98203-2132

(425) 349-3804

Mailing Location

PO Box 3810, Everett, WA 98213-8810

(425) 349-8304

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Washington