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Individual

MR. JOSHUA DEAN BRAWLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
2979 SQUALICUM PKWY, SUITE #203, BELLINGHAM, WA 98225-1811
(360) 733-7670
(360) 647-1901
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005034
WA
363AS0400X
Surgical Physician Assistant
PA10005034
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0234857
LIWA VCR
WA
01
4136BR
BSWA
WA
Enumeration date
07/18/2006
Last updated
08/27/2019
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