Individual
JASON DEAN BRAYLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11212 SUNRISE BLVD E, STE 201, PUYALLUP, WA 98374-8847
(253) 697-7550
Mailing address
11212 SUNRISE BLVD E, STE 201, PUYALLUP, WA 98374-8847
(253) 697-7550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A82277
CA
207Q00000X
Family Medicine Physician
MD60027917
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60027917
WA
Other
Enumeration date
01/20/2006
Last updated
12/15/2021
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