Healthcare Provider Details

I. General information

NPI: 1982544565
Provider Name (Legal Business Name): REDWOOD PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 W OLYMPIC PL APT 206
SEATTLE WA
98119-3766
US

IV. Provider business mailing address

307 W OLYMPIC PL APT 206
SEATTLE WA
98119-3766
US

V. Phone/Fax

Practice location:
  • Phone: 650-815-9271
  • Fax:
Mailing address:
  • Phone: 650-815-9271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRANDON DUKOVIC
Title or Position: NURSE PRACTITIONER
Credential: DNP
Phone: 650-815-9271