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 |