Individual
MR. SHAWN MICHAEL BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
Mailing address
17011 NE 23RD ST, VANCOUVER, WA 98684-6759
(360) 831-3199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60057500
WA
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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