Individual
BRENDON MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
325 9TH AVE, BOX 359612, SEATTLE, WA 98104-2420
(206) 744-5862
Mailing address
7841 STROUD AVE N, SEATTLE, WA 98103-4922
(410) 804-6511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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