Individual
JONATHAN E BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7315 212TH ST SW, SUITE 101, EDMONDS, WA 98026-7610
(425) 775-9474
Mailing address
7315 212TH ST SW, SUITE 101, EDMONDS, WA 98026-7610
(425) 775-9474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00015396
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080172054
MEDICARE RAILROAD
WA
05
—
1109602
—
WA
Enumeration date
07/26/2006
Last updated
02/19/2015
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