Individual
JONATHAN HALPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
(425) 831-2361
Mailing address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
(425) 831-1994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00024322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025694
LABOR & INDUSTRIES
WA
01
—
02678U
REGENCE BLUESHIELD
WA
05
—
8306144
—
WA
Enumeration date
07/11/2006
Last updated
04/17/2015
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