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Individual

DR. JARED MURRAY BAETEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 9TH AVE, CAMPUS BOX 359927, SEATTLE, WA 98104-2420
(206) 520-3808
(206) 520-3801
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00046319
WA
207RI0200X
Infectious Disease Physician
Primary
MD00046319
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0238875
L&I
WA
05
1043201684
WA
Enumeration date
11/02/2005
Last updated
12/09/2013
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