Healthcare Provider Details

I. General information

NPI: 1821812892
Provider Name (Legal Business Name): LEXIE BROST HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9776 HOLMAN RD NW STE 101
SEATTLE WA
98117-2000
US

IV. Provider business mailing address

15560 WESTMINSTER WAY N APT 264
SHORELINE WA
98133-5937
US

V. Phone/Fax

Practice location:
  • Phone: 206-782-6770
  • Fax:
Mailing address:
  • Phone: 360-708-7621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA60020372
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: