Individual
JAKOB O CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-4818
(509) 462-4086
Mailing address
910 N WASHINGTON ST, STE 209, SPOKANE, WA 99201-2202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00045912
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8448474
WA MEDICAID
WA
01
—
GAB32999
MEDICARE GROUP
WA
Enumeration date
07/04/2006
Last updated
01/20/2009
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