Individual
JORIELLE REBECCA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1448 NW MARKET ST, SEATTLE, WA 98107-3743
(206) 781-6353
(206) 783-4801
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040232
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8314262
—
WA
Enumeration date
06/03/2006
Last updated
04/23/2026
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