Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 52566 | WI |
N | 2084N0400X | Neurologist | MD26712 | OR |
Y | 2084N0400X | Neurologist | MD60441119 | WA |
NPI | 1003969684 |
---|---|
Provider Name | Dr. Jason Lamar Aldred |
First Address | Spokane, WA 99202-1342 |
Second Address | Spokane, WA 99202-1342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 05/06/2014 |