Brian Q Cai

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pullman, WA

NPI 1104175231 · NPPES record last updated Sep 5, 2012

Key facts

NPI
1104175231
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
IR60298012 (WA)
Practice address
2290 NE Westwood Dr
Apt# J304
Pullman, WA 99163-5171
Phone
(714) 365-3776
NPI assigned
Sep 5, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
IR60298012WAMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IR60298012 WA Yes

Addresses

Primary practice location

2290 NE Westwood Dr
Apt# J304
Pullman, WA 99163-5171

Mailing address

2290 NE Westwood Dr
Apt# J304
Pullman, WA 99163-5171
Phone (714) 365-3776

Other providers in Pullman, WA

All providers in Pullman, WA · Student in an Organized Health Care Education/Training Program in Washington

Sources for this page

Verify at the official NPI Registry.