MEDICARE: JAMIE MICHAEL WEEMS HAS

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	237700000X	Hearing Instrument Specialist	HA60442565	WA

General Provider Information

NPI Number	:	1649720657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE MICHAEL WEEMS HAS

Provider Business Mailing Address
First Line	:	1311 S UNION AVE
Second Line	:	102
City	:	TACOMA
State	:	WA
Zip	:	98405-1959
Country	:	US
Telephone Number	:	253-759-3555
Fax Number	:	253-759-2988

Provider Business Practice Location Address
First Line	:	1833 AUBURN WAY N
Second Line	:	SUITE M
City	:	AUBURN
State	:	WA
Zip	:	98002-3361
Country	:	US
Telephone Number	:	253-759-3555
Fax Number	:	253-759-2988

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

Provider Enumeration Date	:	10/13/2016
Last Update Date	:	10/13/2016

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