Individual
CHERYL R JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 N 107TH ST, SUITE 205, SEATTLE, WA 98133-9009
(206) 466-5936
(206) 466-5984
Mailing address
2150 N 107TH ST, SUITE 205, SEATTLE, WA 98133-9009
(206) 466-5936
(206) 466-5984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00035079
WA
207R00000X
Internal Medicine Physician
Primary
MD35079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200JA
REGENCE
WA
01
—
214488
LABOR & INDUSTRY
WA
01
—
5891740001
DME
WA
05
—
8244931
—
WA
01
—
P00385271
PALMETTO RR MEDICARE
WA
Enumeration date
09/20/2006
Last updated
03/26/2026
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