Alexandra Therese Emiko Braun, LPO, CPO
in Seattle, WA. Individual provider (NPI-1).
NPI number1801492004
StatusActive
Last updated in NPPESApr 28, 2021
Details
- NPI
- 1801492004
- Entity type
- Individual (NPI-1)
- Name
- Ms. Alexandra Therese Emiko Braun
- Credential
- LPO, CPO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2020
- Certification date
- Apr 28, 2021
- Last updated
- Apr 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | OI61147080 | WA | Yes | |
| 224P00000X | Prosthetist | PS61081423 | WA |
Other names
- Tess Emiko Braun (Other Name)
Practice location
1600 E Jefferson St Ste 402Seattle, WA 98122-5643
Phone 206-241-2786 · Fax 206-241-3349
Mailing address
1600 E Jefferson St Ste 402Seattle, WA 98122-5643
Phone 206-241-2786
Other practice locations
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