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Individual

DR. JENNIFER LYNN REICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11011 MERIDIAN AVE N, SUITE 102, SEATTLE, WA 98133-8540
(206) 859-5777
(206) 859-5776
Mailing address
11011 MERIDIAN AVE N, SUITE 102, SEATTLE, WA 98133-8967
(206) 857-5777
(206) 859-5776

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
00042289
WA
207N00000X
Dermatology Physician
00042289
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00042289
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00330265
RR MEDICARE
Enumeration date
06/06/2006
Last updated
01/20/2021
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