Individual
MR. BRENDAN MICHAEL RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4300
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 314-8845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60628989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700285608
—
WA
Enumeration date
08/15/2014
Last updated
07/12/2016
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