Provider Demographics
NPI:1194457226
Name:BROWN, AUSTIN COLE (CNIM)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:COLE
Last Name:BROWN
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14546
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98511-4546
Mailing Address - Country:US
Mailing Address - Phone:360-539-8487
Mailing Address - Fax:360-358-9944
Practice Address - Street 1:9333 MARTIN WAY E
Practice Address - Street 2:STE 214
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-5969
Practice Address - Country:US
Practice Address - Phone:360-539-8487
Practice Address - Fax:360-358-9944
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic