Healthcare Provider Details

I. General information

NPI: 1407532807
Provider Name (Legal Business Name): BRIANNA E HALL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIANNA E BARTON

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 NE 41ST ST STE 203
VANCOUVER WA
98662-6772
US

IV. Provider business mailing address

7600 NE 41ST ST STE 203
VANCOUVER WA
98662-6772
US

V. Phone/Fax

Practice location:
  • Phone: 360-930-9480
  • Fax: 866-558-7480
Mailing address:
  • Phone: 360-930-9480
  • Fax: 866-558-7480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00142044
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61465535
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: