Healthcare Provider Details

I. General information

NPI: 1760538086
Provider Name (Legal Business Name): MATTHEW SPENCER BRIGNALL N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3256 CALIFORNIA AVE SW
SEATTLE WA
98116-3305
US

IV. Provider business mailing address

3256 CALIFORNIA AVE SW
SEATTLE WA
98116-3305
US

V. Phone/Fax

Practice location:
  • Phone: 206-938-1393
  • Fax: 206-922-5322
Mailing address:
  • Phone: 206-938-1393
  • Fax: 206-922-5322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000945
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: