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Individual

BRIAN DEAN JAEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8301 161ST AVE NE STE 300, REDMOND, WA 98052-3858
(425) 885-3330
(425) 702-2474
Mailing address
1100 E UNION ST STE 3D, SEATTLE, WA 98122-3936
(206) 295-4236

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-8146
HI
2084P0800X
Psychiatry Physician
MD46421
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C0200844
HMSA
HI
01
3433
ALOHA CARE
HI
05
C00054-1
HI
Enumeration date
10/06/2006
Last updated
06/29/2021
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