Individual
JACOB GORBATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11307 BRIDGEPORT WAY SW STE 220A, LAKEWOOD, WA 98499-3024
(253) 985-6675
(253) 985-6678
Mailing address
11307 BRIDGEPORT WAY SW STE 220A, LAKEWOOD, WA 98499-3024
(253) 985-6675
(253) 985-6678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
218845
NC
207X00000X
Orthopaedic Surgery Physician
Primary
MD61266815
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD61266815
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207992
—
WA
Enumeration date
04/12/2016
Last updated
04/01/2025
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