Individual
MR. JONATHAN CLARK SILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EAMP
Contact information
Practice address
3511 NE 105TH ST, SEATTLE, WA 98125-7909
(206) 326-8559
Mailing address
2700 NE 125TH ST, APARTMENT 204, SEATTLE, WA 98125-4351
(206) 326-8559
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60367837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC60367837
EAMP LICENSE NUMBER
WA
Enumeration date
06/05/2013
Last updated
06/05/2013
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