Individual
DR. JANE CAROL BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5358
(206) 520-5620
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD60204586
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD60204586
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0278771
L&I
WA
05
—
1306837232
—
WA
Enumeration date
10/31/2005
Last updated
02/16/2012
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