IndividualActive
Brian Jewett, LMP
NPI 1306052287 · Preferred Provider Organization · Redmond, WA
Provider details
- NPI number
- 1306052287
- Entity type
- Individual
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA00021909 (WA)
Specialties & taxonomies
Managed Care Organizations
Practice location
14802 Ne 31st Cir
Bldg. A,suite N
Redmond, WA 98052-5321
Phone: (425) 869-2882
Fax: (425) 869-0368
Approximate (ZIP-level) locationGet directions
Mailing address
14802 Ne 31st Cir
Redmond, WA 98052-5321
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.