Individual
BRADLEY K FANKHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 493-6001
(425) 493-6030
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60221736
WA
207R00000X
Internal Medicine Physician
Primary
MD60221736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014376
—
WA
01
—
MD60221736
LICENSE
WA
Enumeration date
06/18/2008
Last updated
05/08/2026
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