Healthcare Provider Details

I. General information

NPI: 1609524461
Provider Name (Legal Business Name): GABRIELLE PALFENIER-BROWN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLE PALFENIER PT, DPT

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 W MAIN ST STE 102
BATTLE GROUND WA
98604-4474
US

IV. Provider business mailing address

200 NE MOTHER JOSEPH PL STE 210
VANCOUVER WA
98664-3295
US

V. Phone/Fax

Practice location:
  • Phone: 360-254-6161
  • Fax: 360-803-0847
Mailing address:
  • Phone: 360-254-6161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61386162
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT015426
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number300703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: