Individual
DR. JORDAN WILLIAM TAPPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-1327
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD60996093
WA
207R00000X
Internal Medicine Physician
MD60996093
WA
2083P0901X
Public Health & General Preventive Medicine Physician
42957
GA
2083P0901X
Public Health & General Preventive Medicine Physician
GFE60673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902148315
—
WA
Enumeration date
03/24/2013
Last updated
04/08/2020
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