Jack Jiakun Tian, M.D.
Ophthalmology in Seattle, WA. Individual provider (NPI-1).
NPI number1669907911
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1669907911
- Entity type
- Individual (NPI-1)
- Name
- Jack Jiakun Tian
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2017
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | MD61252434 | WA | Yes |
| 207W00000X | Ophthalmology | MD204184 | OR |
Practice location
325 9th AveSeattle, WA 98104-2420
Phone 206-520-5000
Mailing address
Po Box 50095Seattle, WA 98145-5095
Phone 206-520-5700
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