Individual
JEAN PATRICIA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-4511
(360) 716-5782
Mailing address
4915 25TH AVE NE STE 102W, SEATTLE, WA 98105-5667
(206) 999-4068
(206) 693-3915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190647
LABOR & INDUSTRIES
WA
01
—
0884RE
REGENCE BS
WA
05
—
1100122
—
WA
01
—
91-2145894
PREMERA BC QAFM
WA
Enumeration date
06/24/2006
Last updated
01/24/2024
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