Individual
DR. BJORN ALLAN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19005 SE 34TH ST, VANCOUVER, WA 98683-1450
(360) 726-6720
(360) 726-6729
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60853067
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60853067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104308
—
WA
Enumeration date
05/23/2014
Last updated
11/09/2023
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