Individual
JENNIFER JIHAE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA180004
OR
363A00000X
Physician Assistant
Primary
PA61060805
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780063123
—
WA
Enumeration date
05/19/2015
Last updated
10/19/2020
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