MEDICARE: JASON GENE ATTAMAN DO

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	OP00002165	WA
2	208VP0014X	Interventional Pain Medicine Physician	OP00002165	WA

General Provider Information

NPI Number	:	1871777268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON GENE ATTAMAN DO

Provider Business Mailing Address
First Line	:	4701 SW ADMIRAL WAY # 217
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-2340
Country	:	US
Telephone Number	:	206-395-4422
Fax Number	:	888-688-4167

Provider Business Practice Location Address
First Line	:	1600 116TH AVE NE STE 204
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-3056
Country	:	US
Telephone Number	:	206-395-4422
Fax Number	:	888-688-4167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	09/12/2020

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Directions to “ JASON GENE ATTAMAN DO” Practice Location

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