Individual
BRENDAN RAYVONNE MEDBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WDL548B0D13B
WA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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