Individual
BRANDON BRUCE MASCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16811 SE MCGILLIVRAY BLVD # 101, VANCOUVER, WA 98683-3404
(360) 735-8100
Mailing address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
10/30/2015
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