Individual
JENNIFER FAVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60385652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306138557
—
WA
Enumeration date
05/06/2011
Last updated
04/05/2021
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