Provider Demographics
NPI:1730716630
Name:LOKEN, BRIANNA (LAC, EAMP)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:LOKEN
Suffix:
Gender:F
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4979 SIDNEY RD SW APT D-303
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98367-7417
Mailing Address - Country:US
Mailing Address - Phone:206-225-4920
Mailing Address - Fax:
Practice Address - Street 1:18978 FRONT ST NE STE 200
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7353
Practice Address - Country:US
Practice Address - Phone:360-535-4833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC61048729171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist