Individual
DR. JONATHAN WAYNE ISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(843) 792-3780
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ML61077225
WA
Other
Enumeration date
04/24/2019
Last updated
07/14/2020
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