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Individual

JENNIFER TATE OPFERMAN

Active
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Individual

JENNIFER TATE OPFERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005022
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212503
LABOR & IND. WA STATE
WA
05
—
8461782
—
WA
01
—
8942375
CRIME VICTIMS WA STATE
WA
01
—
P00341341
RR MEDICARE
—
Enumeration date
08/08/2006
Last updated
03/27/2013
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