Individual
DR. TY C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT RD S, SUITE 300, RENTON, WA 98055-5773
(425) 656-5060
(425) 656-5047
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60296622
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60296622
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020723
—
WA
01
—
351942
WA L&I
WA
Enumeration date
02/18/2009
Last updated
04/18/2020
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