Provider Demographics
NPI:1215165709
Name:BROWN, LEIGH ANDRINA (DO)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANDRINA
Last Name:BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 MADISON ST STE 401
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-467-6300
Mailing Address - Fax:206-467-6301
Practice Address - Street 1:805 MADISON ST STE 401
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1172
Practice Address - Country:US
Practice Address - Phone:206-467-6300
Practice Address - Fax:206-467-6301
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP607817702084P0800X
TXP74012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX328220402Medicaid
TX328220401Medicaid
TX319139YRLZMedicare PIN
TX328220402Medicaid