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Individual

DR. JACK RASKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2624 161ST AVE SE, BELLEVUE, WA 98008-5424
(425) 641-1682
Mailing address
2624 161ST AVE SE, BELLEVUE, WA 98008-5424
(425) 641-1682

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00011214
WA

Other

Enumeration date
12/18/2012
Last updated
12/18/2012
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