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Individual

DR. JENNIFER RENAE MCEVOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
101590
AK
2085R0202X
Diagnostic Radiology Physician
51133
WI
2085R0202X
Diagnostic Radiology Physician
M-12187
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD60287521
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508056482
ID
05
1678485
AK
05
2021772
WA
01
309291
L & I PROVIDER NUMBER
WA
01
310103
L & I PROVIDER NUMBER
WA
01
310105
L & I PROVIDER NUMBER
WA
Enumeration date
07/27/2007
Last updated
02/23/2026
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