Healthcare Provider Details

I. General information

NPI: 1457761314
Provider Name (Legal Business Name): RICHARD PAUL BROOKS JR. ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 7TH ST
HOQUIAM WA
98550-3615
US

IV. Provider business mailing address

1020 ANDERSON DR STE 300
ABERDEEN WA
98520-1055
US

V. Phone/Fax

Practice location:
  • Phone: 360-532-0060
  • Fax: 360-532-0061
Mailing address:
  • Phone: 360-533-6063
  • Fax: 360-533-2204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60466102
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: