# LEYTON ENDICOTT JUMP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tenino Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851357008
- **Authorized official:** DR. LEYTON ENDICOTT JUMP MD (OWNER)
- **Authorized official phone:** (360) 264-5665

## Contact information

- **Practice address:** 273 SUSSEX AVE E, TENINO, WA 98589-9359
- **Practice address phone:** (360) 264-5665
- **Practice address fax:** (360) 264-5666
- **Mailing address:** PO BOX 4020, TENINO, WA 98589-4020
- **Mailing address phone:** (360) 264-5665
- **Mailing address fax:** (360) 264-5666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00022762 | WA | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 06/04/2013