Individual
DR. JAMIE M COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1610 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 529-3160
(509) 396-7015
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 619-0562
(509) 396-7015
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00029648
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056874
—
OR
05
—
1077544
—
WA
01
—
180015287
RAILROAD MEDICARE
WA
Enumeration date
07/05/2005
Last updated
01/02/2015
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