Search › Washington › 163W00000X
Colleen Broderius
NPI 1992642763 · on the registry since 2026 · sole proprietor
Practice
- Address
- 8012 W Wild Rose Rd
Deer Park, WA 99006 - Phone
- (509) 220-8914
- Fax
- (509) 220-8914
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-30
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