Organization
TERRY L JACOBSON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL J COUWENBERG (BILLING MANAGER)
(206) 932-9025
Entity
Organization
Contact information
Practice address
710 NW JUNIPER ST, SUITE 204, ISSAQUAH, WA 98027-2717
(425) 837-8842
Mailing address
PO BOX 84702, SEATTLE, WA 98124-6002
(206) 932-9025
(206) 932-1929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
11/16/2007
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