Individual
DR. JACQUELINE VASEN RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 UNIVERSITY ST, SEATTLE, WA 98101-2772
(206) 470-1860
(206) 834-9591
Mailing address
1511 6TH AVE STE 360, SEATTLE, WA 98101-1759
(206) 470-1860
(206) 834-9591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 60041895
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8563348
—
WA
Enumeration date
05/01/2007
Last updated
04/20/2016
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