Jeremiah Willis
Jeremiah Willis is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2025.
- Licensed in
- WA
- In the registry since
- 2025
Practice location Address checks out
4311 11th Ave NE Ste 200Seattle, WA 98105-6367
Phone: (206) 616-4001
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (WA) |
|---|
Record details
| NPI number | 1093688764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 27, 2025 |
| Last updated in NPPES | September 27, 2025 |
| Certification date | September 27, 2025 |
| Mailing address | 719 Sw 356th Pl, Federal Way, WA 98023-8133 |
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