Individual
VIVEK JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AMERICAN LAKE DIVISION MAIL STOP: A-116 MHC, 9600 VETERANS DRIVE, TACOMA, WA 98493-0001
(253) 583-1723
(253) 589-4167
Mailing address
AMERICAN LAKE DIVISION MAIL STOP: A-116 MHC, 9600 VETERANS DRIVE, TACOMA, WA 98493-0001
(253) 583-1723
(253) 589-4167
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18810
MS
Other
Enumeration date
08/03/2006
Last updated
10/24/2007
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