Individual
JAKE MICHAEL BURNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
314 MLK JR. WAY, SUITE 300, TACOMA, WA 98405
(253) 274-1668
(253) 274-1685
Mailing address
2121 6TH AVE, N1603, SEATTLE, WA 98121-2933
(310) 490-3403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BC60682237
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2011
Last updated
10/28/2016
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