Individual
JON JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
2366 EASTLAKE AVE E, #439, SEATTLE, WA 98102-3366
(541) 760-4337
Mailing address
2366 EASTLAKE AVE E, #439, SEATTLE, WA 98102-3366
(541) 760-4337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00025036
WA
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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