Individual
JEFFREY E. FELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 S. 13TH STREET,, SUITE 300, MOUNT VERNON, WA 98274
(360) 336-9757
(360) 336-2088
Mailing address
1400 E. KINCAID ST., ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00017198
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD00017198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263624
LABOR & INDUSTRIES
WA
Enumeration date
06/22/2006
Last updated
10/30/2012
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