Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Robert Wall

Individual provider Specialist · NPI 1578764387

Jonathan Robert Wall is a Specialist in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

12811 SE 38th St
Bellevue, WA 98006-1326
Phone: (425) 378-1800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00015057 (WA)

Record details

NPI number1578764387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2940 S Frontenac St, Seattle, WA 98108-3790

Other providers in Bellevue