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Individual

JONATHAN Y MOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 5TH AVE S STE 200, KIRKLAND, WA 98033-6736
(425) 814-5100
(425) 814-5103
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
94-08450
KS
207Q00000X
Family Medicine Physician
MD185613
OR
207Q00000X
Family Medicine Physician
Primary
MD61378145
WA

Other

Enumeration date
06/19/2014
Last updated
05/15/2025
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