Individual
BRIAN JASON MACLURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 CHERRY ST, SUITE 240, SEATTLE, WA 98104-2023
(206) 624-0296
(206) 624-0296
Mailing address
1120 CHERRY ST, SUITE 240, SEATTLE, WA 98104-2023
(206) 624-0296
(206) 624-0296
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00024469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026178
—
WA
01
—
1813
LABOR AND INDUSTRY
WA
01
—
MD00024469
MEDICAL LICENSE
WA
Enumeration date
12/06/2006
Last updated
03/07/2023
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