Individual
DR. JAY NICHOLA UMBREIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, PH. D.
Contact information
Practice address
17625 48TH AVE SE, BOTHELL, WA 98012-6792
(425) 949-7217
Mailing address
PO BOX 12457, MILL CREEK, WA 98082-0457
(425) 949-7217
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
051095
GA
207RX0202X
Medical Oncology Physician
Primary
051095
GA
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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