Individual
BREANA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD60872325
WA
2084V0102X
Vascular Neurology Physician
Primary
MD60872325
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740607183
—
WA
Enumeration date
03/24/2014
Last updated
06/17/2019
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