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Individual

JEFFREY KLJAICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2055
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN61103644
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61570920
WA

Other

Enumeration date
07/31/2023
Last updated
07/11/2024
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