Provider Demographics
NPI:1437293644
Name:JAMES, AMY (LMP, BS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMP, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14030 NE 85TH CT
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-6411
Mailing Address - Country:US
Mailing Address - Phone:425-445-4264
Mailing Address - Fax:425-605-1288
Practice Address - Street 1:270 3RD AVE STE 201
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6173
Practice Address - Country:US
Practice Address - Phone:425-445-4264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020011174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist