Individual
JENNA STRULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5100
Mailing address
PO BOX 34960, SEATTLE, WA 98124-1960
(425) 656-4255
(425) 656-4003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00044667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039578
LABOR AND INDUSTRIES
WA
05
—
8427221
—
WA
01
—
MA2809
BLUE SHIELD NUMBER
WA
01
—
P00261182
RAILROAD MEDICARE
WA
Enumeration date
10/04/2006
Last updated
06/09/2011
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