Individual
DR. CHARLES JACOB MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 5TH AVE STE 375, SEATTLE, WA 98101-4032
(206) 223-2611
Mailing address
1420 5TH AVE STE 375, SEATTLE, WA 98101-4032
(206) 223-2611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0067844
CO
207Q00000X
Family Medicine Physician
Primary
MD00031331
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000015
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8182313
—
WA
Enumeration date
10/27/2006
Last updated
04/14/2022
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