Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD60143659 | WA |
NPI | 1164690046 |
---|---|
Provider Name | Dr. Jason Deen |
First Address | Seattle, WA 98105-5501 |
Second Address | Seattle, WA 98105-3829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2008 |
Last Update Date | 04/11/2013 |