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Individual

JERRY M ANDERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(877) 515-2975
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(877) 515-2975

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
L5224
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60481560
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133275100
FIRST CARE
TX
05
161225101
TX
05
2044576
WA
01
8F8791
BCBS
TX
Enumeration date
08/09/2006
Last updated
03/11/2026
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