Individual
JACOB JORDAN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 603-5800
Mailing address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 603-5800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
S8133
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
61617194
WA
2085R0204X
Vascular & Interventional Radiology Physician
S8133
TX
Other
Enumeration date
03/30/2019
Last updated
09/19/2025
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