Individual
MR. MICHAEL C. BRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7 DEYE LANE, EASTSOUND, WA 98245-1269
(360) 376-2561
(360) 376-5183
Mailing address
PO BOX 114, EASTSOUND, WA 98245-0114
(360) 376-6321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003670
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187351
L&I
WA
Enumeration date
09/22/2006
Last updated
07/08/2007
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