Individual
JARED BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356560, SEATTLE, WA 98195-6560
(206) 543-6577
Mailing address
1959 NE PACIFIC ST, BOX 356560, SEATTLE, WA 98195-6560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MED-PHYS-LIC-81166
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
06/29/2020
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