SearchWashington101YM0800X

Logan Breitweiser

NPI 1174245872 · on the registry since 2022 · sole proprietor

Practice

Address
123 Nw 36th St Ste 210
Seattle, WA 98107
Phone
(206) 402-5767
Clinicians at this address
17

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington