Provider Demographics
NPI:1386514420
Name:BREAKAWAY RESEARCH GROUP
Entity type:Organization
Organization Name:BREAKAWAY RESEARCH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTYN
Authorized Official - Middle Name:R
Authorized Official - Last Name:AALTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-792-5510
Mailing Address - Street 1:324 S SHERMAN ST STE A3
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1461
Mailing Address - Country:US
Mailing Address - Phone:206-792-5496
Mailing Address - Fax:
Practice Address - Street 1:324 S SHERMAN ST STE A3
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1461
Practice Address - Country:US
Practice Address - Phone:206-792-5496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORLANCE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty