Provider Demographics
NPI:1043545692
Name:JAMES, TRESSA LYNN (LMP, CSP)
Entity type:Individual
Prefix:
First Name:TRESSA
Middle Name:LYNN
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMP, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 FRONT ST S
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3816
Mailing Address - Country:US
Mailing Address - Phone:425-890-4481
Mailing Address - Fax:
Practice Address - Street 1:235 FRONT ST S
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3816
Practice Address - Country:US
Practice Address - Phone:425-890-4481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA14844174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist