Individual
ROBERT BRAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5821 SPRAGUE COURT, TACOMA, WA 98409
(253) 456-4120
Mailing address
PO BOX 34584, SEATTLE, WA 98124
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00000955
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001774
—
WA
Enumeration date
01/26/2007
Last updated
05/09/2008
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