Individual
JEFF S BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
MD60549416
WA
Other
Enumeration date
05/16/2007
Last updated
08/17/2015
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