Individual
JAMIE L OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP61191654
WA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
125.075400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124472709
—
WA
Enumeration date
04/20/2016
Last updated
07/23/2021
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