Provider Demographics
NPI:1518074459
Name:OBRIEN, JOHN (RVT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:OBRIEN
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3104 SQUALICUM PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1936
Mailing Address - Country:US
Mailing Address - Phone:360-733-8128
Mailing Address - Fax:360-733-5354
Practice Address - Street 1:3104 SQUALICUM PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1936
Practice Address - Country:US
Practice Address - Phone:360-733-8128
Practice Address - Fax:360-733-5354
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA4363246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist