Organization
JAMIE M COLEMAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE L MASON (OFFICE MANAGER)
(509) 529-1284
Entity
Organization
Contact information
Practice address
1610 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 529-3160
(509) 529-3241
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 529-1284
(509) 522-1798
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056874
—
OR
05
—
1077544
—
WA
Enumeration date
05/14/2007
Last updated
08/19/2011
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