Individual
MR. JON CONRAD FELDHEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 112TH AVE NE, BELLEVUE, WA 98004
(425) 453-1039
(425) 453-8955
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 453-1039
(425) 453-8955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005052
WA
363AM0700X
Medical Physician Assistant
PA16956
CA
Other
Enumeration date
06/22/2007
Last updated
03/07/2019
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