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NPI Code Detail

MEDICARE: JASON MARANAN

MEDICARE: JASON MARANAN
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
1225X00000XOccupational Therapist60331800WA

General Provider Information

NPI Number : 1164728705
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON MARANAN
Provider Business Mailing Address
First Line : 2445 3RD AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98134-1923
Country : US
Telephone Number : 206-252-0000
Fax Number :
Provider Business Practice Location Address
First Line : 2445 3RD AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98134-1923
Country : US
Telephone Number : 206-252-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2011
Last Update Date : 04/07/2023

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Directions to “ JASON MARANAN ” Practice Location

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