Leyton Endicott Jump
General Practice Physician · Tenino, WA
Practice location
273 Sussex Ave ETenino, WA 98589-9359
- Phone
- (360) 264-5665
- Fax
- (360) 264-5666
NPI record
- NPI
- 1790741924
- Entity type
- Individual (Type 1)
- Enumeration date
- April 25, 2006
- Last updated
- February 26, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
MD00022762 | WA |
Mailing address
PO Box 4020Tenino, WA 98589-4020
- Phone
- (360) 264-5665
- Fax
- (360) 264-5666
About Leyton Jump
Leyton Endicott Jump is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 273 Sussex Ave E, Tenino, WA 98589-9359. The NPI number 1790741924 was assigned on April 25, 2006 and the record was last updated on February 26, 2015.
Leyton Jump lists a license in the registry: #MD00022762 (WA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Leyton Endicott Jump?
The NPI number is 1790741924.
What is the phone number of Leyton Jump?
The phone number listed for the practice location is (360) 264-5665.
Where is Leyton Jump located?
273 Sussex Ave E, Tenino, WA 98589-9359.
What is the taxonomy code for Leyton Jump?
The primary taxonomy code is 208D00000X – General Practice Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.