Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ELLYN SOUDERS, M.D.
ActiveJENNIFER ELLYN SOUDERS, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in MOUNTLAKE TERRACE, Washington. NPI 1922360940 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · MOUNTLAKE TERRACE, WA
Registration Details
- NPI Number
- 1922360940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2012 (14.201870747198 yrs)
- Last Updated
- Jul 21, 2016
- Licenses
-
MD00029678 (WA)MD00029678 (WA)
Practice Information
- Address
-
6808 220TH ST SWNORTH START PLACE, STE 201MOUNTLAKE TERRACE, WA, 980432187Browse WA providers · Browse ZIP 98043
- Phone
- 4256406976
- Fax
- 4256406977
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Anesthesiology
Other Pain Medicine (Anesthesiology) Providers in MOUNTLAKE TERRACE, WA
| Name | Credential | NPI |
|---|---|---|
| GEOFFREY LOUIS TYSON | M.D. | 1679610778 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.