Jamaligiah Abdorohman

Individual provider Active NPI Registered Nurse · Seattle, WA

NPI 1013525633 · NPPES record last updated Jul 20, 2020

Key facts

NPI
1013525633
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN00168184 (WA)
Practice address
3639 Martin Luther King Jr Way S
Seattle, WA 98144-6847
Phone
(206) 774-2465
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN00168184WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00168184 WA Yes

Addresses

Primary practice location

3639 Martin Luther King Jr Way S
Seattle, WA 98144-6847

Mailing address

5923 39TH Ave S
Seattle, WA 98118-2616
Phone (206) 468-6406

Other providers in Seattle, WA

All providers in Seattle, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.