Individual
BRENNA BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2005 NW SAMMAMISH RD, ISSAQUAH, WA 98027-5364
(425) 394-0610
(425) 394-0809
Mailing address
507 2ND ST, KIRKLAND, WA 98033-6124
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00046657
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8472953
—
WA
Enumeration date
11/11/2006
Last updated
03/03/2008
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