Individual
ANNELISE MARJOLEIN JACOBSEN GAASERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 16TH AVE E, CAPITOL HILL CAMPUS SOUTH BUILDING, SEATTLE, WA 98112-5211
(206) 326-3530
(206) 326-3558
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML20008175
WA
Other
Enumeration date
07/06/2007
Last updated
04/07/2021
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