Provider Demographics
NPI:1841617206
Name:BARRINEAU, ASHLEY BREANNE
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BREANNE
Last Name:BARRINEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926 BEAR RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-7854
Mailing Address - Country:US
Mailing Address - Phone:540-353-3032
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST BOX 357134
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-543-7496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program