Individual
DR. JENNIFER MICHELLE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 NW MAPLE ST, SUITE 111, ISSAQUAH, WA 98027
(425) 394-1200
(425) 394-0100
Mailing address
MS 315010, PO BOX 3947, SEATTLE, WA 98124-3947
(425) 688-5670
(425) 635-6388
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
238264
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60246597
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014424
—
WA
Enumeration date
09/19/2007
Last updated
06/27/2021
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