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Jonathan Robert Wall
Specialist in Bellevue, Washington
NPI 1578764387

Jonathan Robert Wall is a Specialist based in Seattle, WA. Jonathan Robert Wall practices in Bellevue, WA. The NPI Number for Jonathan Robert Wall is 1578764387 and holds a License No. MA00015057 (Washington).

The current practice location address for Jonathan Robert Wall is 12811 Se 38Th St, Bellevue, WA and can be reached out via phone at 425-378-1800.

Location: 12811 Se 38Th St, Bellevue, WA, 98108-3790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578764387
Provider Name
Jonathan Robert Wall
Credential
Provider Entity Type
Individual
Gender
Male
Address
12811 Se 38Th St, Bellevue, WA, 98108-3790
Phone Number
425-378-1800
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12811 Se 38Th St
City
Bellevue
State
Washington
Zip
98006-1326
Phone Number
425-378-1800
Fax Number
person
Provider Business Mailing Address Details
Address
12811 Se 38Th St
City
Bellevue
State
Washington
Zip
98006-1326
Phone Number
425-378-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00015057 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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