Individual
MR. JONATHAN C BORJESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14841 179TH AVE SE, SUITE 220, MONROE, WA 98272-1108
(360) 217-1153
(360) 217-1156
Mailing address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497
(360) 805-3456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OP00002254
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045714
—
WA
Enumeration date
12/06/2005
Last updated
07/21/2022
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