Individual
DR. JONATHAN ADAM BERYMAN MOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-3605
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-3605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020-03111
NC
207Q00000X
Family Medicine Physician
85197
SC
207R00000X
Internal Medicine Physician
Primary
MD60964067
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCJ0476067
MEDICARE PIN
SC
01
—
SCJ0476084
MEDICARE PIN
SC
01
—
SCJ047J577
MEDICARE PIN
SC
Enumeration date
03/28/2017
Last updated
08/01/2025
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