Individual
JILL CATHLEEN MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(425) 502-4233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00043840
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD00043840
WA
208M00000X
Hospitalist Physician
MD00043840
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187872
L & I WORKERS COMP
WA
01
—
3120MO
REGENCE BLUESHIELD RIDER
WA
05
—
8405995
—
WA
01
—
P00188678
RAILROAD MEDICARE
WA
Enumeration date
04/03/2006
Last updated
04/27/2021
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