Provider Demographics
NPI:1093858177
Name:FILBERT, BRIANA (LMP)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:FILBERT
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:KLIMP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:16517 115TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5206
Mailing Address - Country:US
Mailing Address - Phone:206-930-2011
Mailing Address - Fax:
Practice Address - Street 1:1640 NW GILMAN BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5339
Practice Address - Country:US
Practice Address - Phone:425-391-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00017436174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist