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Individual

JASON PHILIP RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9575 ETHAN WADE WAY SE, SNOQUALMIE, WA 98065-9577
(425) 831-2321
(425) 831-2361
Mailing address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2321
(425) 831-2361

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00037081
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00037081
WA
207Q00000X
Family Medicine Physician
Primary
MD00037081
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8240780
WA
Enumeration date
05/25/2006
Last updated
04/17/2015
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