Individual provider · Type 1 NPI

Brevin Ghoram

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1336054568 Active

Practice location

1430 2nd Ave
Seattle, WA 98101-3331

Mailing address

10408 SE 12th St
Midwest City, OK 73130-5707

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

Other student in an organized health care education/training program providers in Seattle

See all in Seattle →

About NPI 1336054568

Brevin Ghoram's National Provider Identifier is 1336054568, issued on Aug 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Aug 13, 2026.