Individual
JASON E MARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3950 MONTLAKE BLVD NE, ROOM 148, SEATTLE, WA 98195-0001
(206) 543-1552
(206) 543-6573
Mailing address
3950 MONTLAKE BLVD NE, ROOM 148, SEATTLE, WA 98195-0001
(206) 543-1552
(206) 543-6573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60310507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871699207
—
WA
Enumeration date
09/15/2006
Last updated
03/16/2013
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