IndividualActive
Brian Tallman, CPO
NPI 1568637668 · Prosthetist · Vancouver, WA
Provider details
- NPI number
- 1568637668
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- License
- OI00000478 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
505 Ne 87th Ave Ste Ll10
Vancouver, WA 98664-1988
Phone: (360) 256-0026
Approximate (ZIP-level) locationGet directions
Mailing address
505 Ne 87th Ave Ste Ll10
Vancouver, WA 98664-1988
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2009-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.