Individual
DR. THEODORE ROSS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12039 NE 128TH ST, SUITE 300, KIRKLAND, WA 98034-3030
(425) 899-5350
(425) 899-5355
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00030955
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101702
—
WA
05
—
8364887
—
WA
05
—
MD0955W
—
AK
Enumeration date
05/20/2006
Last updated
01/26/2010
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