NPI 1639567324

Jamie D Purple, LMP

Practitioner Specialist Enumclaw, WA

Practice location

Address: 1218 Griffin Ave, Enumclaw, WA 98022-3012
Phone: (253) 508-8153
Mailing address: 1606 Myrtle Ave, Enumclaw, WA 98022-3104

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA60503376 (WA)

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Registry record

NPI: 1639567324
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2015
Record last updated: 2 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.