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General NPI Number Information
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NPI Number | 1558855791
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Entity Type | Individual
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Provider Name | BRENDAN ROARKE MCDONALD DNP, ARNP, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 200 S 2ND ST
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City | RENTON
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State | WA
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Zip | 98057-2011
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Country | US
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Telephone | 425-226-5536
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Fax | 425-226-0354
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Provider Business Mailing Address
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Address Line | 955 POWELL AVE SW
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City | RENTON
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State | WA
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Zip | 98057-2908
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Country | US
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Telephone | 425-277-1311
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Fax | 425-277-1566
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 60858419
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60858419
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60558463
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License Number State | WA
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