Provider Demographics
NPI:1982922233
Name:GIPSTEIN, BRIAN N (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:N
Last Name:GIPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 S MADELIA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-6429
Mailing Address - Country:US
Mailing Address - Phone:509-448-2692
Mailing Address - Fax:509-448-2692
Practice Address - Street 1:4407 S MADELIA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-6429
Practice Address - Country:US
Practice Address - Phone:509-448-2692
Practice Address - Fax:509-448-2692
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000136612084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry