Healthcare Provider Details

I. General information

NPI: 1871777268
Provider Name (Legal Business Name): JASON GENE ATTAMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 09/12/2020
Certification Date: 09/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 116TH AVE NE STE 204
BELLEVUE WA
98004-3056
US

IV. Provider business mailing address

4701 SW ADMIRAL WAY # 217
SEATTLE WA
98116-2340
US

V. Phone/Fax

Practice location:
  • Phone: 206-395-4422
  • Fax: 888-688-4167
Mailing address:
  • Phone: 206-395-4422
  • Fax: 888-688-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOP00002165
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberOP00002165
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: