Individual
ANDREW RYAN JACKENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 320-7288
(206) 320-7289
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60729721
WA
Other
Enumeration date
05/22/2010
Last updated
07/21/2022
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