Individual
BRENDAN RHODES O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21616 76TH W AVE, SUITE 209, EDMONDS, WA 98026-7512
(425) 774-5163
(425) 744-1705
Mailing address
21616 76TH W AVE 209, EDMONDS, WA 98026-7512
(425) 774-5163
(425) 744-1705
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00043309
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231666
L&I
WA
05
—
1114017068
—
WA
01
—
319820
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/13/2006
Last updated
12/17/2015
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