Provider Demographics
NPI:1508872540
Name:PERRY, ROBERT JASON THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JASON THOMAS
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:128 LILLY RD NE STE 205
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-7400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:128 LILLY RD NE STE 205
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-7400
Practice Address - Country:US
Practice Address - Phone:360-493-7444
Practice Address - Fax:360-236-7929
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2025-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD607044662086S0129X, 2086S0129X
NE237002086S0129X
MN726212086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery