Individual
DR. JENNIFER KRISTIN THILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 JASMINE ST, OMAK, WA 98841-9578
(509) 826-1760
(509) 826-7211
Mailing address
PO BOX 793, OMAK, WA 98841-9578
(509) 826-1760
(509) 826-7211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00047900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222348
L&I
WA
05
—
8484529
—
WA
01
—
8944672
CV
WA
Enumeration date
10/21/2006
Last updated
09/11/2013
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