Provider Demographics
NPI:1437229952
Name:SAUNDERS, JEFFREY C (LMP)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:C
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:MR
Other - First Name:JEFFERSON
Other - Middle Name:C
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMP
Mailing Address - Street 1:3321 181ST PL NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5933
Mailing Address - Country:US
Mailing Address - Phone:425-861-8255
Mailing Address - Fax:425-861-8255
Practice Address - Street 1:3321 181ST PL NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5933
Practice Address - Country:US
Practice Address - Phone:425-861-8255
Practice Address - Fax:425-861-8255
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00000985174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist