MEDICARE: DR. HELENA B JONES M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD00025209	WA
2	207RP1001X	Pulmonary Disease Physician	MD00025209	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275539546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENA B JONES M.D.

Provider Business Mailing Address
First Line	:	1560 N 115TH ST
Second Line	:	STE G-10
City	:	SEATTLE
State	:	WA
Zip	:	98133-8414
Country	:	US
Telephone Number	:	206-368-1558
Fax Number	:	206-368-5751

Provider Business Practice Location Address
First Line	:	1560 N 115TH ST
Second Line	:	STE G-10
City	:	SEATTLE
State	:	WA
Zip	:	98133-8414
Country	:	US
Telephone Number	:	206-368-1558
Fax Number	:	206-368-5751

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/29/2012

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