Provider Demographics
NPI:1932177847
Name:BORKOWSKI, JANE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:MARIE
Last Name:BORKOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:BORKOWSKI
Other - Last Name:GOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12040 NE 128TH ST., MS 98
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-441-2600
Mailing Address - Fax:425-441-2700
Practice Address - Street 1:12040 NE 128TH ST., MS 98
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034
Practice Address - Country:US
Practice Address - Phone:425-441-2600
Practice Address - Fax:425-441-2700
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00034172207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0291408OtherL&I
WA1755GOOtherREGENCE
WAP00871006OtherRAILROAD MEDICARE
WA1932177847Medicaid
WA1932177847Medicaid
WA1315080001Medicare NSC
WA1755GOOtherREGENCE