Basic Information
Provider Information
NPI: 1841429487
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRACHAN
FirstName: BRIAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11511 NE 10TH ST
Address2:  
City: BELLEVUE
State: WA
PostalCode: 980048578
CountryCode: US
TelephoneNumber: 5092417938
FaxNumber: 4255023589
Practice Location
Address1: 11511 NE 10TH ST
Address2:  
City: BELLEVUE
State: WA
PostalCode: 980048578
CountryCode: US
TelephoneNumber: 5092417938
FaxNumber: 4255023589
Other Information
ProviderEnumerationDate: 07/02/2009
LastUpdateDate: 05/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD60343744WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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