Individual
DR. JILL SPEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 NE 139TH ST, SUITE 202, VANCOUVER, WA 98685-2513
(360) 566-9355
(360) 816-1327
Mailing address
900 NE 139TH ST, SUITE 202, VANCOUVER, WA 98685-2513
(360) 566-9355
(360) 816-1327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041013
WA
208000000X
Pediatrics Physician
MD00041013
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7125131
—
WA
Enumeration date
01/31/2007
Last updated
11/06/2015
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