Healthcare Provider Details
I. General information
NPI: 1609703313
Provider Name (Legal Business Name): JASPR CARES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7241 36TH AVE SW
SEATTLE WA
98126-3218
US
IV. Provider business mailing address
7241 36TH AVE SW
SEATTLE WA
98126-3218
US
V. Phone/Fax
- Phone: 503-290-3281
- Fax:
- Phone: 503-290-3281
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREW
WILLIAM
WHITE
Title or Position: DIRECTOR
Credential: PHD
Phone: 503-290-3281