Individual
MR. JAMISON R RIDGELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1412 SW 43RD ST, SUITE 206, RENTON, WA 98057
(253) 236-5720
(425) 988-0168
Mailing address
1412 SW 43RD ST, SUITE 206, RENTON, WA 98057
(253) 236-5720
(425) 988-0168
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60638738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174780530
—
NC
05
—
1184191603
—
WA
Enumeration date
05/21/2008
Last updated
11/24/2024
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