# JENNIFER TATE OPFERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497764229
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10005022 | WA | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 03/27/2013

## 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 | — |