Individual
BRANDT CHARLES MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
1351 KENSINGTON WAY, RICHLAND, WA 99352-7871
(903) 884-6647
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00048126
WA
2085R0202X
Diagnostic Radiology Physician
ML20007481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000543
—
WA
Enumeration date
08/30/2006
Last updated
02/23/2026
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