IndividualActive
Bryan Gerhard, CPO, LCPO
NPI 1790318376 · Prosthetist · Shoreline, WA
Provider details
- NPI number
- 1790318376
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO, LCPO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15225 Aurora Ave N
Shoreline, WA 98133-6123
Phone: (206) 363-7790
Fax: (206) 363-7688
Approximate (ZIP-level) locationGet directions
Mailing address
15225 Aurora Ave N
Shoreline, WA 98133-6123
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.