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Individual

ELLEN L JUHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4744 41ST AVE SW STE 102, SEATTLE, WA 98116-4566
(206) 320-8120
(206) 876-8671
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 233-7489

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60344911
WA
207R00000X
Internal Medicine Physician
RT1352
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669566006
WA
Enumeration date
10/02/2006
Last updated
12/18/2023
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