Basic Information
Provider Information
NPI: 1760732770
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YAHRAUS
FirstName: BRITTANY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 850
Address2:  
City: PORT ANGELES
State: WA
PostalCode: 983620146
CountryCode: US
TelephoneNumber: 3604177111
FaxNumber: 3604177342
Practice Location
Address1: 907 GEORGIANA ST
Address2:  
City: PORT ANGELES
State: WA
PostalCode: 983623911
CountryCode: US
TelephoneNumber: 3605650999
FaxNumber: 3604571599
Other Information
ProviderEnumerationDate: 09/17/2012
LastUpdateDate: 07/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA60813063WAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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