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Individual

JACOB BENJAMIN BRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 258-7390
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD61518406
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD61518406
WA

Other

Enumeration date
04/23/2018
Last updated
09/20/2024
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