Individual provider · Type 1 NPI

Jimmy S. Adra, MD

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1013050004 Active

Practice location

1100 9th Ave
Seattle, WA 98101-2756

Mailing address

1100 Olive Way Ste 401 # M4-PA
Seattle, WA 98101-1873

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013050004

Jimmy S. Adra, MD's National Provider Identifier is 1013050004, issued on Feb 15, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.