Provider Demographics
NPI:1275539546
Name:JONES, HELENA B (MD)
Entity Type:Individual
Prefix:DR
First Name:HELENA
Middle Name:B
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1560 N 115TH ST
Mailing Address - Street 2:STE G-10
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8414
Mailing Address - Country:US
Mailing Address - Phone:206-368-1558
Mailing Address - Fax:206-368-5751
Practice Address - Street 1:1560 N 115TH ST
Practice Address - Street 2:STE G-10
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8414
Practice Address - Country:US
Practice Address - Phone:206-368-1558
Practice Address - Fax:206-368-5751
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025209207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8645806Medicaid
WAAB13121Medicare ID - Type Unspecified
WA8645806Medicaid