Individual
JESSE LEE NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1117 SPRING ST, FRIDAY HARBOR, WA 98250-9782
(360) 378-2141
(360) 378-1785
Mailing address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL60564891
WA
207Q00000X
Family Medicine Physician
Primary
OP60769940
WA
Other
Enumeration date
06/18/2015
Last updated
02/04/2022
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