Individual
ASHLEY M JERATH TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9725 3RD AVE NE STE 500, SEATTLE, WA 98115-2024
(206) 527-1200
(206) 527-2514
Mailing address
9725 3RD AVE NE STE 500, SEATTLE, WA 98115-2024
(206) 527-1200
(206) 527-2514
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00040523
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030005331
RAIL ROAD MEDICARE
WA
01
—
7981JE
REGENCE
WA
05
—
8290835
—
WA
Enumeration date
06/25/2006
Last updated
09/03/2019
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