Individual provider · Type 1 NPI

Jonathan Robert Wall

Specialist · Bellevue, WA

NPI number 1578764387 Active

Practice location

12811 SE 38th St
Bellevue, WA 98006-1326

Call (425) 378-1800 Map

Mailing address

2940 S Frontenac St
Seattle, WA 98108-3790

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00015057 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1578764387

Jonathan Robert Wall's National Provider Identifier is 1578764387, issued on May 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bellevue, WA. The record was last updated on Jul 8, 2007.