Individual
MRS. BROOKE MAE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14201 NE 20TH AVE STE 3103, VANCOUVER, WA 98686-6414
(360) 571-9799
(360) 576-6320
Mailing address
2101 NE 139TH ST, STE 450, VANCOUVER, WA 98686-2325
(360) 904-6694
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005303
WA
363AM0700X
Medical Physician Assistant
PA10332
OR
Other
Enumeration date
11/30/2007
Last updated
04/29/2019
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