Individual
DR. JASON ANTHONY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, HMC DEPARTMENT OF PEDIATRICS - BOX 359774, SEATTLE, WA 98104-2420
(206) 744-9500
(206) 744-9862
Mailing address
325 9TH AVE, HMC DEPARTMENT OF PEDIATRICS - BOX 359774, SEATTLE, WA 98104-2420
(206) 744-9500
(206) 744-9862
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 00043582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023171683
—
WA
Enumeration date
12/18/2006
Last updated
08/22/2013
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