Provider Demographics
NPI:1528354230
Name:MEEK, JESSEE LOGAN (DO)
Entity type:Individual
Prefix:
First Name:JESSEE
Middle Name:LOGAN
Last Name:MEEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16916 140TH AVE NE STE 300
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-6957
Mailing Address - Country:US
Mailing Address - Phone:425-481-6363
Mailing Address - Fax:425-488-4971
Practice Address - Street 1:16916 140TH AVE NE STE 300
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072
Practice Address - Country:US
Practice Address - Phone:425-481-6363
Practice Address - Fax:425-488-4971
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60933226207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine