Provider Demographics
NPI:1346540564
Name:COCHRAN, BRENDEN (ND)
Entity Type:Individual
Prefix:DR
First Name:BRENDEN
Middle Name:
Last Name:COCHRAN
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 1:16108 ASH WAY STE 109
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-8780
Mailing Address - Country:US
Mailing Address - Phone:425-361-7945
Mailing Address - Fax:425-320-3964
Practice Address - Street 1:16108 ASH WAY STE 109
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-8780
Practice Address - Country:US
Practice Address - Phone:425-361-7945
Practice Address - Fax:425-361-7945
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60175108175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA274927792OtherPRIVATE