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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