person
Brendan Haughie Jackson-fowl, DO
Student in an Organized Health Care Education/Training Program in Renton, Washington
NPI 1477297109

Brendan Haughie Jackson-fowl is a Student in an Organized Health Care Education/Training Program based in Renton, WA. Brendan Haughie Jackson-fowl practices in Renton, WA and has the professional credentials of DO. The NPI Number for Brendan Haughie Jackson-fowl is 1477297109 and holds a License No. (Washington).

The current practice location address for Brendan Haughie Jackson-fowl is 3915 Talbot Rd S Ste 401, Renton, WA and can be reached out via phone at 425-690-3445 and via fax at 425-690-9445.

Location: 3915 Talbot Rd S Ste 401, Renton, WA, 98055-5738
person
Provider Profile Details
NPI Number
1477297109
Provider Name
Brendan Haughie Jackson-fowl
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3915 Talbot Rd S Ste 401, Renton, WA, 98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
Provider Enumeration Date
04/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3915 Talbot Rd S Ste 401
City
State
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider Business Mailing Address Details
Address
3915 Talbot Rd S Ste 401
City
State
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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