Braidon Forrest Freeman, PA C

Physician Assistant · Spokane, WA

Individual Active NPI

NPI number 1104812981

Practice location

105 W 8TH Ave Ste 200
Spokane, WA 99204-2318
Phone
(509) 624-9112
Fax
(503) 297-8148

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NPI record

NPI
1104812981
Entity type
Individual (Type 1)
Enumeration date
September 27, 2005
Last updated
August 1, 2022
Certified
August 1, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA61281463 WA
Physician Assistant 363A00000X PA 01014 OR

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone
(509) 624-9112

About Braidon Freeman

Braidon Forrest Freeman, PA C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 105 W 8TH Ave Ste 200, Spokane, WA 99204-2318. The NPI number 1104812981 was assigned on September 27, 2005 and the record was last updated on August 1, 2022.

Braidon Freeman lists 2 licenses in the registry: #PA61281463 (WA) for Physician Assistant; #PA 01014 (OR) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Braidon Forrest Freeman, PA C?

The NPI number is 1104812981.

What is the phone number of Braidon Freeman?

The phone number listed for the practice location is (509) 624-9112.

Where is Braidon Freeman located?

105 W 8TH Ave Ste 200, Spokane, WA 99204-2318.

What is the taxonomy code for Braidon Freeman?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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