Search › Washington › 101Y00000X
Cory Bragg, BA, AAC
NPI 1700661808 · on the registry since 2023
Practice
- Address
- 910 16th Ave Ste 120
Longview, WA 98632 - Phone
- (360) 200-5419
- Fax
- (360) 200-6736
- Organisation at this address
- Evergreen At Park Royal Ii, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-18
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