Individual
JONATHAN W FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1990 HOSPITAL DRIVE, SUITE 100, SEDRO-WOOLEY, WA 98284-9315
(360) 856-4141
(360) 856-4145
Mailing address
1990 HOSPITAL DRIVE, SUITE 100, SEDRO-WOOLEY, WA 98284-9315
(360) 856-4141
(360) 856-4145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039820
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8275984
—
WA
Enumeration date
03/30/2006
Last updated
07/08/2007
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