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Individual

DR. BRAD R FRANDSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
463 TREMONT ST W, SUITE 200, PORT ORCHARD, WA 98366-3743
(360) 876-2434
(360) 876-2696
Mailing address
463 TREMONT ST W, SUITE 200, PORT ORCHARD, WA 98366-3743
(360) 876-2434
(360) 876-2696

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00029864
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080035879
RAILROAD MEDICARE
01
30294
LABOR & INDUSTRIES
WA
01
4117501
AETNA
05
7134620
WA
05
8142226
WA
01
8930727
CRIME VICTIMS COMP
WA
01
FR6531
REGENCE BLUE SHIELD
Enumeration date
06/16/2006
Last updated
08/29/2024
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