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Individual

JASON VIERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
1138 NW MARKET ST, SEATTLE, WA 98107-3710
(206) 783-0404
Mailing address
2021 NW 59TH ST, # 103, SEATTLE, WA 98107-3146

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA60261319
WA

Other

Enumeration date
01/21/2012
Last updated
01/21/2012
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