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NPI Code Detail

MEDICARE: BRENDAN ROARKE MCDONALD DNP, ARNP, PMHNP-BC

MEDICARE: BRENDAN ROARKE MCDONALD DNP, ARNP, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner60858419WA
2363L00000XNurse PractitionerAP60858419WA
3163W00000XRegistered NurseRN60558463WA

General Provider Information

NPI Number : 1558855791
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDAN ROARKE MCDONALD DNP, ARNP, PMHNP-BC
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2908
Country : US
Telephone Number : 425-277-1311
Fax Number : 425-277-1566
Provider Business Practice Location Address
First Line : 200 S 2ND ST
Second Line :
City : RENTON
State : WA
Zip : 98057-2011
Country : US
Telephone Number : 425-226-5536
Fax Number : 425-226-0354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 12/04/2025

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