# BRETT T QUAVE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013911361
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A75659 | CA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD157375 | OR | Yes |
| 208VP0000X | Pain Medicine Physician | MD00048162 | WA | — |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 10/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500647357 | MEDICAID (DMAP) | OR |
| 05 | — | 8488843 | — | WA |