Provider Demographics
NPI:1871677591
Name:GARCIA, JORGE M (MD)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5316 RAINIER AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2354
Mailing Address - Country:US
Mailing Address - Phone:206-721-5600
Mailing Address - Fax:206-326-3825
Practice Address - Street 1:1401 MADISON ST STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1316
Practice Address - Country:US
Practice Address - Phone:206-386-6111
Practice Address - Fax:206-386-6113
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2019-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00022613207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A06717Medicare UPIN