Individual
JESSE PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 E EDGAR ST, SEATTLE, WA 98102-3132
(206) 809-7436
Mailing address
1841 23RD AVE E, SEATTLE, WA 98112-2913
(781) 608-0010
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD61076434
WA
2084P0800X
Psychiatry Physician
Primary
MD61076434
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
06/30/2022
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