Jerry Mixon, MD

NPI 1366799090 · on the registry since 2012 · sole proprietor

Practice

Address: 9757 Ne Juanita Dr
202
Kirkland, WA 98034
Phone: (425) 605-8715
Fax: (425) 654-0211
Organisation at this address: Longevity Medical Clinic
Longevity Laboratory, Llc
Endeavor Family Counseling
Jaya Ramesh Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 207QA0505X
207QA0505X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-08-13

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