BRIAN MATTHEW WALLER
Student in an Organized Health Care Education/Training Program

Address: 6200 13th Ave S Fl 1, Seattle, WA 98108-2706

BRIAN MATTHEW WALLER (NPI# 1285214221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285214221
Entity Type Individual
Full Name BRIAN MATTHEW WALLER
Gender Male
Practice Address 6200 13th Ave S Fl 1
Seattle
WA 98108-2706
Practice Telephone 2064616943
Mailing Address 96 Davis St
South Portland
ME 04106-4909
Mailing Telephone 3852750692
Certification Date 2021-04-13
Enumeration Date 2021-04-13
Last Update Date 2021-04-13
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 6200 13TH AVE S FL 1
City SEATTLE
State WA
Zip Code 98108-2706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427686740 Shih Han Hsu Student in an Organized Health Care Education/Training Program 6200 13th Ave S Fl 1, Seattle, WA 98108-2706 2020-03-31
1497348643 Janet Hu Student in an Organized Health Care Education/Training Program 6200 13th Ave S Fl 1, Seattle, WA 98108-2706 2021-02-18
1508493388 Tomomi Ida Student in an Organized Health Care Education/Training Program 6200 13th Ave S Fl 1, Seattle, WA 98108-2706 2020-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306916556 Neighborcare Health · Neighborcare Health At Georgetown Clinic/Center - Federally Qualified Health Center (FQHC) 6200 13th Ave S, Seattle, WA 98108-2706 2006-11-08
1659375129 Romanine Loch Dentist - General Practice 6200 13th Ave S, Seattle, WA 98108-2706 2005-06-12
1831355825 Carrie Lyn Magnuson Dentist - General Practice 6200 13th Ave S, Seattle, WA 98108-2706 2008-07-30
1548854177 Timothy Ro Student in an Organized Health Care Education/Training Program 6200 13th Ave S, Seattle, WA 98108-2706 2021-02-24
1679829543 Bushra Liaqat Dentist 6200 13th Ave S, Seattle, WA 98108-2706 2012-07-30
1205367497 Steven Chase Dennis Dentist 6200 13th Ave S, Seattle, WA 98108-2706 2017-03-21
1427362664 Alfreda Lanier Dental Hygienist 6200 13th Ave S, Seattle, WA 98108-2706 2010-07-29
1568043628 Lai Min Theodora Fung Student in an Organized Health Care Education/Training Program 6200 13th Ave S, Seattle, WA 98108-2706 2021-04-19
1679643696 Candida Garcia Dental Hygienist 6200 13th Ave S, Seattle, WA 98108-2706 2006-11-08
1134427115 Erica J. Moon Dentist 6200 13th Ave S, Seattle, WA 98108-2706 2011-03-01
Find all in zip 98108-2706

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1700072998 Sharif Shayallow Kaharaba · Sharif Shayallow Kaharaba Specialist/Technologist - Speech-Language Assistant 2973 S Holly St, Seattle, WA 98108 2007-09-20
1174869481 Cheryll J Frazier Counselor 1600 S. Columbia Way S-116-Wtrc, Seattle, WA 98108 2012-12-14
1033772512 Sara Hiolani Maupin Social Worker - Clinical 5511 15th Ave S, Seattle, WA 98108 2019-04-19
1427269935 Ener-G Foods Inc Durable Medical Equipment & Medical Supplies 5960 1st Ave South, Seattle, WA 98108 2007-05-25
1245380468 Assadullah Kazemi Family Medicine - Geriatric Medicine 4515 Mlk Way, Providence Elderplace, Seattle, WA 98108 2007-01-11
1205468899 Connie Heath Counselor - Addiction (Substance Use Disorder) 13044 14th Ave S, Seattle, WA 98108 2020-02-11
1003037037 Gregory Parada Family Medicine 8720 14th Ave S, Seattle, WA 98108 2007-05-01
1023367968 Victoria Bozzacco Registered Nurse 4515 Martin Luther King Way S, Seattle, WA 98108 2012-09-06
1184999260 April Schachtel Dermatology 1660 S Columbian Way Va Puget Sound Health Care System, General Internal Medicine Clinic, Seattle, WA 98108 2012-03-21
1992053847 Russell Larder Registered Nurse - Community Health 4515 Martin Luther King Jr Way, Seattle, WA 98108 2012-08-27
Find all in zip 98108

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164005856 My-Linh Trinh Nguyen Student in an Organized Health Care Education/Training Program 820 Yesler Way Unit 804, Seattle, WA 98104-5103 2021-04-30
1992387294 Adiya Jaffari Student in an Organized Health Care Education/Training Program Health Sciences Building, Seattle, WA 98195-0001 2021-04-26
1679155832 Luke Otto Brandenberger Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street Box 356421, Seattle, WA 98195-0001 2021-04-26
1548842008 Adrian Lazarevic-Fogelquist Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St # 356421, Seattle, WA 98195-0001 2021-04-24
1669054276 Jonathan Avery Student in an Organized Health Care Education/Training Program 1959 Ne Pacific Street Box: 356421, Seattle, WA 98195-6421 2021-04-22
1891376984 Ryan Tatsuo Heu-Fai Yanagihara Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St Box : 356421, Seattle, WA 98195-0001 2021-04-20
1013598184 Michael Measom Student in an Organized Health Care Education/Training Program Main Hospital 1959 Ne Pacific St 2nd Floor, Seattle, WA 98195-0001 2021-04-19
1366023541 Roussell Wong Student in an Organized Health Care Education/Training Program 113 23rd Ave S, Seattle, WA 98144-2309 2021-04-19
1700467156 Erik Risa Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St., Box #356410, Seattle, WA 98195 2021-04-17
1134700941 Stanley Joseph Moore Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St # A300, Seattle, WA 98195-0001 2021-04-14
Find all providers in SEATTLE

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City SEATTLE
Zip Code 98108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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