NPI 1619006616

Brendt Allen Brandewie

Practitioner Other Technician Port Angeles, WA

Practice location

Address: Cgc Active Ediz Hook Rd, Port Angeles, WA 98362
Phone: (360) 417-5970

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Washington →

Registry record

NPI: 1619006616
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.