Individual
BRIAN OPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
1001 E 4TH ST, CLE ELUM, WA 98922-1381
(206) 306-4085
Mailing address
PO BOX 1044, CLE ELUM, WA 98922
(206) 306-4085
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3253906
WA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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