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Individual

MR. JASON APPLEBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Contact information

Practice address
1519 ALASKAN WAY SOUTH, USCG ISC SEATTLE HEALTH SERVICES, SEATTLE, WA 98134
(206) 217-6400
Mailing address
1843 PARKVIEW DR NE, BAINBRIDGE ISLAND, WA 98110-4804
(206) 201-3880

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1054309
NCCPA CERTIFICATE NUMBER
Enumeration date
12/16/2005
Last updated
10/24/2008
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