Individual
JASON TRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6367
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61256384
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336795392
—
WA
Enumeration date
08/15/2019
Last updated
06/14/2022
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