Individual
JEREMIAH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
(206) 616-4001
Mailing address
719 SW 356TH PL, FEDERAL WAY, WA 98023-8133
(253) 241-9390
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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