Individual
TIMOTHY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
1001 N BROADWAY, STATION A-11, EVERETT, WA 98201-1586
(425) 259-0212
(425) 259-0209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8362998
—
WA
Enumeration date
05/20/2006
Last updated
05/29/2009
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