BRENDAN JACKSON-FOWL, DO

Family Medicine

Active Individual
NPI: 1477297109

Practice Address

3915 TALBOT RD S STE 401
Renton, WA 98055

Phone: (425) 690-3445

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes OP61295493 (WA)

Frequently Asked Questions

NPI 1477297109 is the National Provider Identifier for BRENDAN JACKSON-FOWL, DO, a Family Medicine provider located in Renton, WA. This NPI was enumerated on April 27, 2022.
BRENDAN JACKSON-FOWL, DO practices at 3915 TALBOT RD S STE 401, Renton, WA 98055.

Quick Facts

NPI
1477297109
Type
Individual
Enumerated
Apr 27, 2022
Last Updated
Jul 28, 2025

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