Brian Tyrell White

Peer Specialist · Omak, WA

Individual Active NPI

NPI number 1396218566

Practice location

1007 Koala Dr
Omak, WA 98841-9247
Phone
(509) 826-6191
Fax
(509) 826-3029

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NPI record

NPI
1396218566
Entity type
Individual (Type 1)
Enumeration date
January 9, 2019
Last updated
January 9, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X CG60878786 WA

About Brian White

Brian Tyrell White is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1007 Koala Dr, Omak, WA 98841-9247. The NPI number 1396218566 was assigned on January 9, 2019 and the record was last updated on January 9, 2019.

Brian White lists a license in the registry: #CG60878786 (WA) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Tyrell White?

The NPI number is 1396218566.

What is the phone number of Brian White?

The phone number listed for the practice location is (509) 826-6191.

Where is Brian White located?

1007 Koala Dr, Omak, WA 98841-9247.

What is the taxonomy code for Brian White?

The primary taxonomy code is 175T00000X – Peer Specialist.

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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