Individual
DR. GARRETT SCOTT JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11216 SUNRISE BLVD E, # 3-106, PUYALLUP, WA 98374
(253) 848-5951
(253) 845-7073
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60413252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022097
—
WA
Enumeration date
05/16/2012
Last updated
05/15/2018
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