Individual
MICHELLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., MPH
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 339-5444
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
OP60361069
WA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
OP60361069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031072
—
WA
Enumeration date
04/08/2009
Last updated
01/16/2026
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