Individual
JACOB SCOTT THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 BROADWAY STE 200, SEATTLE, WA 98122-5373
(206) 386-2550
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD61687221
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A195313
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD.MD61687221
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD61687221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349671
—
WA
Enumeration date
04/02/2019
Last updated
02/24/2026
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