Individual
JESSICA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 543-2470
Mailing address
11808 NORTHUP WAY, STE W300, BELLEVUE, WA 98005-1938
(425) 284-1547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60162743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282256
L&I
—
05
—
1447442538
—
WA
Enumeration date
08/13/2007
Last updated
05/12/2016
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