Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kordale Tre Bavor, NP

Individual provider Pediatric Nurse Practitioner · NPI 1659984631

Mr. Kordale Tre Bavor, NP is a Pediatric Nurse Practitioner in Bonney Lake, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

10004 204th Ave E Ste 1300
Bonney Lake, WA 98391-6537
Phone: (253) 848-8797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 61422757 (WA)

Record details

NPI number1659984631
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

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