Individual
DR. DOUGLAS L. JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP00001360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016487001
GROUP HEALTH CORP
WA
01
—
050020529
RAILROAD MEDICARE
WA
01
—
79703
LABOR AND INDUSTRIES
WA
05
—
8137572
—
WA
01
—
8934065
VICTIMS OF CRIME
WA
01
—
910847215
UNIFORM MEDICAL
WA
01
—
91084721523
KPS
WA
01
—
JE7215
REGENCE BLUE SHIELD
WA
Enumeration date
07/11/2005
Last updated
01/21/2009
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