Individual
MR. JONATHAN SEABROOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4027 HOYT AVE, EVERETT, WA 98201-4920
(425) 304-8476
(425) 304-8477
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5422
(425) 339-5444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210947
LABOR AND INDUSTRIES
WA
Enumeration date
08/04/2006
Last updated
05/03/2021
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