Individual
MR. JASON L. MENOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
Mailing address
720 OLIVE WAY, SUITE 1505, SEATTLE, WA 98101-1878
(206) 838-2590
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53294U
REGENCE
WA
Enumeration date
08/05/2006
Last updated
07/08/2007
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