Individual
TIMOTHY BRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
212 E CENTRAL AVE, SUITE 365, SPOKANE, WA 99208-6291
(509) 435-0973
(509) 435-0798
Mailing address
PO BOX 469, SPOKANE, WA 99210-0469
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TA60612447
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2014
Last updated
10/03/2016
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