Doctor Name: | JADA HELGESON |
NPI Number: | 1851722433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.O.T.A./L |
License Number: | OC00000135 |
Business Practice Address: | 805 Old Pioneer Way Nw Orting, WA - 983609466 |
Business Phone Number: | 3608936500 |
Business Fax Number: | 3608934367 |
Mailing Address: | 14311 168th St E, ORTING |
State: | WA |
Postal Code: | 983609535 |
Phone Number: | 3608932720 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2013 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OC00000135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |