SearchWashington1041C0700X

Jake Kim, LICSW

NPI 1154636603 · on the registry since 2010 · sole proprietor

Practice

Address
7320 216th St Sw
Suite 200
Edmonds, WA 98026
Phone
(425) 640-4900
Fax
(425) 640-4919
Organisation at this address
Swedish Edmonds
Puget Sound Neurology
Edmonds Eye M.D., Pllc
Phd2 Of Snohomish County
Blue Mountain Medical Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
85

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
NY, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington