Provider Demographics
NPI:1083991343
Name:KLUMP, BRIAN LEWIS ROWLAND (EAMP)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:LEWIS ROWLAND
Last Name:KLUMP
Suffix:
Gender:M
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 NE 217TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-9063
Mailing Address - Country:US
Mailing Address - Phone:360-607-0726
Mailing Address - Fax:
Practice Address - Street 1:16505 SE 1ST ST STE H
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-9586
Practice Address - Country:US
Practice Address - Phone:360-326-8306
Practice Address - Fax:360-433-0748
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60248808171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist