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Individual

MS. JENNIFER LYNN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
601 BROADWAY FL 6, SEATTLE, WA 98122-5330
(206) 386-2600
(206) 622-1644
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1004764
WA
363A00000X
Physician Assistant
PA217076
OR
363AS0400X
Surgical Physician Assistant
Primary
PA10004764
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010389
WA
Enumeration date
06/05/2006
Last updated
09/19/2023
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