Individual
NATHAN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10330 MERIDIAN AVE N STE 230, SEATTLE, WA 98133-9441
(206) 668-4737
Mailing address
PO BOX 50095, SEATTLE, WA 98195-5095
(206) 520-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101021364
MI
207Q00000X
Family Medicine Physician
Primary
OP60792760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285049981
—
WA
Enumeration date
06/23/2014
Last updated
04/19/2021
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