Individual
BRENDAN LUIS THAMMARATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 AUBURN AVE STE 300, AUBURN, WA 98002-5082
(253) 735-0166
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61349066
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
01/17/2025
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