Individual
JASON REGIS FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61406728
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD61406728
WA
Other
Enumeration date
07/09/2020
Last updated
06/10/2025
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