MEDICARE: BRIAN MACARAIG ORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95286394	CA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP70008704	WA

General Provider Information

NPI Number	:	1508417536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MACARAIG ORGAN

Provider Business Mailing Address
First Line	:	1425 DEXTER AVE N OFC 12
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3534
Country	:	US
Telephone Number	:	580-969-0008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 DEXTER AVE N OFC 12
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3534
Country	:	US
Telephone Number	:	580-969-0008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	07/23/2025

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Directions to “ BRIAN MACARAIG ORGAN ” Practice Location

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