Healthcare Provider Details

I. General information

NPI: 1740588144
Provider Name (Legal Business Name): BRIGHAM BRETON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRIG BRETON PA-C

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8212 S MARCH POINT RD
ANACORTES WA
98221-8684
US

IV. Provider business mailing address

8212 S MARCH POINT RD
ANACORTES WA
98221-8684
US

V. Phone/Fax

Practice location:
  • Phone: 360-588-2800
  • Fax:
Mailing address:
  • Phone: 360-228-7474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number14274870-8906
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number70124119
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: