Individual
BRADEN O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3125 OLD FAIRHAVEN PKWY STE 106, BELLINGHAM, WA 98225-8266
(360) 788-8388
(360) 788-8389
Mailing address
1115 SE 164TH AVE, VANCOUVER, WA 98683-9324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A16736
CA
207Q00000X
Family Medicine Physician
Primary
OP61321863
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2017
Last updated
03/14/2023
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