Provider Demographics
NPI:1306016167
Name:BROWN, BROOK M (ND)
Entity Type:Individual
Prefix:DR
First Name:BROOK
Middle Name:M
Last Name:BROWN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101A 244TH ST SW
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8564
Mailing Address - Country:US
Mailing Address - Phone:425-398-5987
Mailing Address - Fax:
Practice Address - Street 1:1101A 244TH ST SW
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-8564
Practice Address - Country:US
Practice Address - Phone:425-398-5987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001630175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath