MEDICARE: DR. ARIA JAFARI 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	207Y00000X	Otolaryngology Physician	MD.MD.61045918	WA

General Provider Information

NPI Number	:	1689007320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIA JAFARI M.D.

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC STREET BOX 356161
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-598-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST # 356515
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-3729
Country	:	US
Telephone Number	:	260-598-4022
Fax Number	:

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

Provider Enumeration Date	:	08/16/2013
Last Update Date	:	10/22/2020

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