| Chris Brubaker, Llc | |
|
2825 Eastlake Ave E Suite 120 Seattle WA 98102-3062 | |
| (206) 486-4993 | |
| (206) 535-6838 |
| Full Name | Chris Brubaker, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2825 Eastlake Ave E, Seattle, Washington |
| Authorized Official Name and Position | Christopher J Brubaker (OWNER) |
| Authorized Official Contact | 2064864993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Brubaker, Llc 2825 Eastlake Ave E Suite 120 Seattle WA 98102-3062 Ph: (206) 486-4993 | Chris Brubaker, Llc 2825 Eastlake Ave E Suite 120 Seattle WA 98102-3062 Ph: (206) 486-4993 |
| NPI Number | 1124482435 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Medicare PECOS PAC ID | 6002115466 |
|---|---|
| Medicare Enrollment ID | O20160506000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124482435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 60301735 (Washington) | Primary |
| Provider Name | Christopher J Brubaker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942511936 PECOS PAC ID: 6103069471 Enrollment ID: I20160601000853 |
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