Individual
BRENT S MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1005 N EVERGREEN RD STE 10, SPOKANE VALLEY, WA 99216-1485
(509) 926-5367
Mailing address
15825 SE NEHALEM ST, PORTLAND, OR 97236-5350
(971) 322-9096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5645
OR
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
60293127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295981579
—
WA
01
—
P01153281
RR MEDICARE
OR
Enumeration date
08/18/2008
Last updated
02/27/2026
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