Individual
LEANNE BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
330 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1642
(360) 435-2133
(360) 435-1415
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(702) 954-7819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004914
WA
363A00000X
Physician Assistant
PA1219554
OR
363AM0700X
Medical Physician Assistant
Primary
PA10004914
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216271
LIWA
WA
01
—
0227576
LIWA
WA
01
—
3085BR
BSWA
WA
01
—
605960011
FBL
WA
05
—
8440091
—
WA
Enumeration date
10/03/2006
Last updated
09/18/2025
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