Healthcare Provider Details

I. General information

NPI: 1841123932
Provider Name (Legal Business Name): BRIAN MUN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 16TH AVE E
SEATTLE WA
98112-5226
US

IV. Provider business mailing address

23905 VAN RY BLVD APT 628
MOUNTLAKE TERRACE WA
98043-5596
US

V. Phone/Fax

Practice location:
  • Phone: 206-326-3000
  • Fax:
Mailing address:
  • Phone: 425-314-3543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH61455767
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: