Individual
JOHN D O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(206) 401-3175
(206) 401-3201
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61326168
WA
363L00000X
Nurse Practitioner
Primary
AP70035316
WA
363L00000X
Nurse Practitioner
RN61326168
WA
Other
Enumeration date
06/02/2025
Last updated
04/28/2026
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