Individual
DR. JONATHAN Y JIN
Active
Individual
DR. JONATHAN Y JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00029836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1077437
—
WA
01
—
912163079
TAX ID
—
Enumeration date
11/02/2005
Last updated
06/25/2018
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