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Individual

BRIAN DOERING POESCHLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00041783
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0175034
L&I
WA
05
1083794069
WA
01
260051228
RAIL ROAD MEDICARE
WA
01
298200
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/16/2006
Last updated
11/21/2012
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