Healthcare Provider Details

I. General information

NPI: 1881510493
Provider Name (Legal Business Name): DAVID YEHUDA BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14090 FRYELANDS BLVD SE STE 380
MONROE WA
98272-2761
US

IV. Provider business mailing address

7016 S M ST
TACOMA WA
98408-3130
US

V. Phone/Fax

Practice location:
  • Phone: 425-558-0558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: