Provider Demographics
NPI:1891797734
Name:BRION, ARNEL M (MD)
Entity Type:Individual
Prefix:
First Name:ARNEL
Middle Name:M
Last Name:BRION
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 1:9576 RIDGETOP BLVD NW
Mailing Address - Street 2:SUITE L-101
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8554
Mailing Address - Country:US
Mailing Address - Phone:360-692-7755
Mailing Address - Fax:360-692-7064
Practice Address - Street 1:9576 RIDGETOP BLVD NW
Practice Address - Street 2:SUITE L-101
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8554
Practice Address - Country:US
Practice Address - Phone:360-692-7755
Practice Address - Fax:360-692-7064
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025947208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1115351Medicaid
WAGAB25566Medicare PIN
WA1115351Medicaid