Individual
JENNIFER ELLYN SOUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6808 220TH ST SW, NORTH START PLACE, STE 201, MOUNTLAKE TERRACE, WA 98043-2187
(425) 640-6976
(425) 640-6977
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00029678
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00029678
WA
Other
Enumeration date
06/14/2012
Last updated
07/21/2016
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