Individual
JILL MIDORI WATANABE
Active
Individual
JILL MIDORI WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00036296
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110174428
RAILROAD MEDICARE
WY
05
—
8234668
—
WA
01
—
AB05287
UWP MEDICARE
WA
01
—
AB29938
HARBORVIEW MEDICARE
WA
Enumeration date
12/08/2006
Last updated
01/09/2008
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