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Organization

JEANNE ISAACSON, M.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL GALLAGHER (MANAGER)
(206) 246-8000
Entity
Organization

Contact information

Practice address
14463 MILITARY RD S, TUKWILA, WA 98168-4255
(206) 246-8000
Mailing address
14463 MILITARY RD S, TUKWILA, WA 98168-4255
(206) 246-8000
(206) 243-6996

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110237888
RR MEDICARE
WA
05
1115880
WA
01
1224IS
REGENCE
WA
Enumeration date
07/23/2006
Last updated
02/03/2010
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