Individual
JADEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
(855) 255-1750
(855) 255-0905
Mailing address
3612 MADRONA ST APT 1, BREMERTON, WA 98312-4665
(806) 206-4436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61214961
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2020
Last updated
09/27/2024
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