Provider Demographics
NPI:1104041516
Name:GARCIA, ALMA JARED (DO)
Entity Type:Individual
Prefix:DR
First Name:ALMA
Middle Name:JARED
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 EASTLAKE AVE E STE A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-7127
Mailing Address - Country:US
Mailing Address - Phone:206-861-8200
Mailing Address - Fax:
Practice Address - Street 1:3213 EASTLAKE AVE E STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-7127
Practice Address - Country:US
Practice Address - Phone:206-861-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60140579208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH58-002066OtherTRAINING LICENSE