Individual
ANDREW D JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00031448
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039582
LABOR & INDUSTRY
WA
01
—
804187200
IDAHO MEDICAID
WA
05
—
8153769
—
WA
01
—
830005116
RAILROAD MEDICARE
—
01
—
JA5907
BLUE SHIELD
WA
01
—
MD843WA
ALASKA MEDICAID
WA
01
—
US0818750
AETNA/USHC PCP
WA
01
—
US0899710
AETNA/USHC SPECIALIST
WA
Enumeration date
08/31/2006
Last updated
01/26/2015
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