Individual
BRIAN TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
505 NE 87TH AVE STE LL10, VANCOUVER, WA 98664-1988
(360) 256-0026
Mailing address
505 NE 87TH AVE STE LL10, VANCOUVER, WA 98664-1988
(360) 256-0026
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000478
WA
224P00000X
Prosthetist
Primary
PS60022981
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8528762
—
WA
Enumeration date
04/29/2008
Last updated
06/29/2009
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