Individual
JESSICA MARIE COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 W FRONT ST, SUITE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST, SUITE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60565046
WA
207Q00000X
Family Medicine Physician
MRM-1248
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046999
—
WA
Enumeration date
06/13/2012
Last updated
09/07/2023
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