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Individual

JENNIFER M AVILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
225416
MA
207P00000X
Emergency Medicine Physician
Primary
MD00046373
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA38049
TUFTS
MA
01
J28890
BCBS
MA
Enumeration date
10/18/2005
Last updated
04/01/2021
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