Christopher S. Jack MD
Internal Medicine Physician in Bellevue, WA(View on Map)
Full Name
Christopher S Jack MD
NPI Number
1093918641
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/08/2007
Specialties
(Taxonomies)Code
207R00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Washington
License Number
MD60001446
Contact
Information
Purpose
Mailing
Location
Address
11511 NE 10TH ST
11511 NE 10TH ST
City
Bellevue
Bellevue
State
WA
WA
Postal Code
98004-8578
98004-8578
Country
US
US
Telephone Number
(425) 502-3000
(425) 502-3000
Health Information Exchange
Endpoint Type
SOAP
Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Endpoint Description
Carequality
Use
Health Information Exchange (HIE)
Content Type
Other
Other Description:C-CDA
Affiliation
N
Endpoint Location
11511 NE 10th StBellevue, WA980048578US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/19/2021
Provider Address
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