Individual
JENNIFER LYNN AZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
23213 PACIFIC HWY S., KENT, WA 98032-2721
(206) 543-0065
Mailing address
P.O. BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60180385
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0269492
L&I
WA
05
—
1073703294
—
WA
Enumeration date
07/25/2007
Last updated
10/22/2012
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