Individual
JAKE WALKER SHARP
Active
Individual
JAKE WALKER SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD202293
OR
2085R0202X
Diagnostic Radiology Physician
MD60876778
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720465933
—
WA
05
—
500789539
—
OR
Enumeration date
04/27/2015
Last updated
01/31/2024
Update your record
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