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Individual

JAQUELINE GM RAETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1455 NW LEARY WAY STE 145, SEATTLE, WA 98107-5124
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00042941
WA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD00042941
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD00042941
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881770535
WA
Enumeration date
10/27/2006
Last updated
09/18/2023
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