Individual
BROOKE COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 W PIONEER AVE, MONTESANO, WA 98563-4412
(360) 515-7342
Mailing address
PO BOX 917, RAYMOND, WA 98577-0917
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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