Individual
BRIAN WIRKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
149 LILLY RD NE, OLYMPIA, WA 98506-5028
(360) 486-6772
(360) 455-7405
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61148937
WA
Other
Enumeration date
03/24/2021
Last updated
09/19/2022
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