Individual
DR. JONATHAN JAMES EBBING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 7TH AVE, KAISER PERMANENTE LONGVIEW-KELSO MEDICAL OFFICE, LONGVIEW, WA 98632-3198
(360) 636-6235
(360) 575-4805
Mailing address
1230 7TH AVE, KAISER PERMANENTE LONGVIEW-KELSO MEDICAL OFFICE, LONGVIEW, WA 98632-3198
(360) 636-6235
(360) 575-4805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00046327
WA
2084P0800X
Psychiatry Physician
MD26739
OR
Other
Enumeration date
08/19/2006
Last updated
07/12/2007
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