Gauthier, Jordan

Gauthier, Jordan is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Gauthier, Jordan can be contacted via phone (206) 288-6956.

Contact Information

Primary practice address
825 Eastlake Ave E Seattle WA 98109-4405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X TR60984741 Washington
Allopathic & Osteopathic Physicians / Hematology 207RH0000X TR60984741 Washington

Profile Details

NPI number 1174920953
LBN Legal business name Gauthier, Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2014
Last updated Sep 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174920953 NPPES
Washington MEDICAID 1174920953

Popular Providers