Individual
JASON POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
501 21ST ST SE APT B, AUBURN, WA 98002-6839
(253) 347-2988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00053371
WA
Other
Enumeration date
08/16/2017
Last updated
05/18/2023
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