Organization
JEFFREY F OLLIFFE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MCCLARTY (OFFICE MANAGER)
(206) 624-1441
Entity
Organization
Contact information
Practice address
1120 CHERRY ST, SUITE: 320, SEATTLE, WA 98104-2044
(206) 624-6104
Mailing address
1120 CHERRY ST, SUITE: 320, SEATTLE, WA 98104-2044
(206) 624-6104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019371
—
WA
01
—
4079498
AETNA
WA
01
—
57243
L&I
WA
01
—
OL5050
REGENCE BLUE SHIELD
WA
Enumeration date
01/22/2008
Last updated
01/22/2008
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