Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD61187217 | WA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD61187217 | WA |
NPI | 1447677653 |
---|---|
Provider Name | Elyse Jennifer Brinkmann |
First Address | Seattle, WA 98195-0001 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 30/11/2021 |