Individual
JENNIFER STRUMOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1124 COLUMBIA ST, STE 400, SEATTLE, WA 98104-2026
(206) 215-2090
(206) 215-3099
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005214
MD
363AS0400X
Surgical Physician Assistant
Primary
PA60683015
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA81387
CONTROLLED AND DANGEROUS SUBSTANCES REGISTRATION
MD
Enumeration date
10/31/2013
Last updated
04/07/2021
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