Provider Demographics
NPI:1659839967
Name:CONNACHER, DONALD AREND
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:AREND
Last Name:CONNACHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6256 NE 204TH PL
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-8628
Mailing Address - Country:US
Mailing Address - Phone:209-568-6193
Mailing Address - Fax:
Practice Address - Street 1:3003 NORTHUP WAY STE 200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1480
Practice Address - Country:US
Practice Address - Phone:425-822-6442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst