Healthcare Provider Details

I. General information

NPI: 1487809703
Provider Name (Legal Business Name): JAMIE R LITVACK M.D., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE L ROBINSON M.D.,M.S.

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 COLBY AVE STE J
EVERETT WA
98201-4032
US

IV. Provider business mailing address

1728 W MARINE VIEW DR STE 111
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 425-791-3093
  • Fax:
Mailing address:
  • Phone: 425-259-4041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD60628497
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: