Provider Demographics
NPI:1992040174
Name:WITTE, BRENDEN M (ND)
Entity Type:Individual
Prefix:DR
First Name:BRENDEN
Middle Name:M
Last Name:WITTE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 LARRABEE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7341
Mailing Address - Country:US
Mailing Address - Phone:360-255-5355
Mailing Address - Fax:360-255-0119
Practice Address - Street 1:1100 LARRABEE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7341
Practice Address - Country:US
Practice Address - Phone:360-255-5355
Practice Address - Fax:360-255-0119
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60320962175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath