Provider Demographics
NPI:1720401946
Name:BROWN, AARON P (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:P
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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 84642
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-5942
Mailing Address - Country:US
Mailing Address - Phone:425-297-5590
Mailing Address - Fax:
Practice Address - Street 1:1717 13TH ST
Practice Address - Street 2:STE 200
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1621
Practice Address - Country:US
Practice Address - Phone:425-297-5590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD604464852085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD60446485OtherWA SATE MEDICAL LICENSE
TXBP10037860OtherTX RESIDENT MEDICAL LICENSE/PERMIT NUMBER
WAMD60446485OtherWA SATE MEDICAL LICENSE