Individual
BRIAN SCOTT OELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BAC M-4, PULLMAN, WA 99164-1602
(509) 335-0291
Mailing address
2440 NW GRANITE CT, PULLMAN, WA 99163-3685
(509) 334-2115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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