| Js Medical Clinic Pllc | |
|
101 Sw 41st St Ste J Renton WA 98055-4974 | |
| (425) 251-8239 | |
| (425) 251-6298 |
| Full Name | Js Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Sw 41st St Ste J, Renton, Washington |
| Authorized Official Name and Position | Shan Jiang (OWNER) |
| Authorized Official Contact | 4252518239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Js Medical Clinic Pllc 101 Sw 41st St Ste J Renton WA 98055-4974 Ph: (425) 251-8239 | Js Medical Clinic Pllc 101 Sw 41st St Ste J Renton WA 98055-4974 Ph: (425) 251-8239 |
| NPI Number | 1609909860 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609909860 | NPI | - | NPPES |
| 1122951 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00043005 (Washington) | Primary |
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