MEDICARE: J. L. DONALDSON SERVICES CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1558426395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. L. DONALDSON SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	16030 BOTHELL EVERETT HWY
Second Line	:	SUITE 200
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1741
Country	:	US
Telephone Number	:	425-745-4910
Fax Number	:	425-338-5709

Provider Business Practice Location Address
First Line	:	16030 BOTHELL EVERETT HWY
Second Line	:	SUITE 200
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1741
Country	:	US
Telephone Number	:	425-745-4910
Fax Number	:	425-338-5709

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MS. ROSEMARY BENNETTS
Credential	:
Telephone Number	:	425-745-4910

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	10/11/2013

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Practice Fax: 425-338-5709

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