Individual provider · Type 1 NPI

John Wendell Thornburg

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

NPI number 1215732565 Active

Practice location

8029 NE 169th St
Kenmore, WA 98028-3950

Call (425) 488-8298 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Community/Behavioral Health Agency 251S00000XNone 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 1215732565

John Wendell Thornburg's National Provider Identifier is 1215732565, issued on Feb 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenmore, WA. The record was last updated on Feb 19, 2025.