Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 060-0003612 | VT |
Y | 207X00000X | Orthopaedic Surgeon | MD60462965 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60462965 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | P5372 | TX |
NPI | 1548431158 |
---|---|
Provider Name | Dr. Jonathan Straffin Hall |
First Address | Seattle, WA 98104-1172 |
Second Address | Kirkland, WA 98034-3027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2008 |
Last Update Date | 27/08/2014 |