Individual
HELEN ELIZABETH JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 N EPHRATA AVE, CONNELL, WA 99326-9601
(509) 544-3516
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 744-8516
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD61085788
WA
Other
Enumeration date
04/10/2018
Last updated
07/01/2021
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