| Jennifer Ellyn Souders, MD | |
|
6808 220th St Sw, North Start Place, Ste 201, Mountlake Terrace, WA 98043-2187 | |
| (425) 640-6976 | |
| (425) 640-6977 |
| Full Name | Jennifer Ellyn Souders |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 6808 220th St Sw, Mountlake Terrace, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922360940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MD00029678 (Washington) | Primary |
| 207L00000X | Anesthesiology | MD00029678 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ellyn Souders, MD 805 Madison St, Suite 901, Seattle, WA 98104-1172 Ph: (206) 264-8100 | Jennifer Ellyn Souders, MD 6808 220th St Sw, North Start Place, Ste 201, Mountlake Terrace, WA 98043-2187 Ph: (425) 640-6976 |
Geoffrey Louis Tyson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6808 220th St Sw Ste 201, Mountlake Terrace, WA 98043 Phone: 360-839-6778 |