SearchWashington390200000X

Brandon West, CO

NPI 1497534234 · on the registry since 2023 · sole proprietor

Practice

Address
3400 W Garland Ave
Spokane, WA 99205
Phone
(509) 325-2355
Fax
(509) 326-3370
Organisation at this address
Pioneer Human Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-21

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