Provider Demographics
NPI:1669638268
Name:BARRIOS, GREGORY BRANDT (RRT)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:BRANDT
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 PINE ST
Mailing Address - Street 2:20-C
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1811
Mailing Address - Country:US
Mailing Address - Phone:206-650-5996
Mailing Address - Fax:
Practice Address - Street 1:205 CRITTENDEN ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4257
Practice Address - Country:US
Practice Address - Phone:877-998-9930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA32457227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered