Individual
MS. JENNA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6823 OSWEGO PL NE, SUITE #1, SEATTLE, WA 98115-8415
(206) 527-9709
(206) 526-2991
Mailing address
7316 47TH AVE SW, APT. #2, SEATTLE, WA 98136-3010
(206) 933-2838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013235
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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