Individual
JACOB BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4554
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-2997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61181173
WA
208D00000X
General Practice Physician
0102205801
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/03/2018
Last updated
11/09/2021
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