Individual
BRENDA L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243511 HIGHWAY 101, PORT ANGELES, WA 98363-9472
(360) 452-6252
Mailing address
243511 HIGHWAY 101, PORT ANGELES, WA 98363-9472
(360) 452-6252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60341332
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027695
—
WA
Enumeration date
10/26/2006
Last updated
11/13/2023
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