Provider Demographics
NPI:1861515876
Name:JENNIFER J JAMES, MD PS
Entity type:Organization
Organization Name:JENNIFER J JAMES, MD PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-404-9700
Mailing Address - Street 1:PO BOX 34936
Mailing Address - Street 2:DEPT 4086
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124
Mailing Address - Country:US
Mailing Address - Phone:206-439-2988
Mailing Address - Fax:206-431-3939
Practice Address - Street 1:140 4TH AVE N
Practice Address - Street 2:SUITE 170
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4940
Practice Address - Country:US
Practice Address - Phone:206-404-9700
Practice Address - Fax:206-404-9708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037010208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty