Basic Information
| Provider Information | |||||||||
| NPI: | 1619901576 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DR JEFFERY BRITTIN FAMILY MEDICINE PLLC INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 16187 | ||||||||
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| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981160187 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2064392988 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4744 41ST AVE SW | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981164570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069375356 | ||||||||
| FaxNumber: | 2069375366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 07/09/2008 | ||||||||
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| AuthorizedOfficialLastName: | BRITTIN | ||||||||
| AuthorizedOfficialFirstName: | JEFFERY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2069375356 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD00032329 | WA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.