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Organization
TERESA E. JACOBS, MD, PS
Active
Organization
TERESA E. JACOBS, MD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA ELLEN JACOBS MD (PRESIDENT)
(425) 278-2250
Entity
Organization
Contact information
Practice address
1380 112TH AVE NE STE 307, BELLEVUE, WA 98004-3759
(425) 278-2250
(425) 562-5885
Mailing address
PO BOX 5593, BELFAST, ME 04915-5500
(425) 278-2250
(425) 562-5885
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD00029806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0538JA
REGENCE #
WA
05
—
1117050
—
WA
01
—
AB34037
MEDICARE ID #
WA
Enumeration date
10/29/2007
Last updated
12/19/2012
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