Provider Demographics
NPI:1245335769
Name:MCFARLANE, BRIAN A (PT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:A
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14235 SE 179TH PL
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-9218
Mailing Address - Country:US
Mailing Address - Phone:425-235-8859
Mailing Address - Fax:225-363-1193
Practice Address - Street 1:24020 132ND AVE SE STE D
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-5108
Practice Address - Country:US
Practice Address - Phone:253-631-1933
Practice Address - Fax:253-631-2094
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8363087Medicaid
WA164801Medicare ID - Type Unspecified
WAR12207Medicare UPIN