Individual
JACOB ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16225 NE 87TH ST STE 160, REDMOND, WA 98052-3536
(425) 653-4960
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(206) 901-2010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36497449
ID
TX
Enumeration date
01/11/2021
Last updated
07/14/2025
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