Individual
JACOB BETTESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(509) 474-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
58.002432
OH
207L00000X
Anesthesiology Physician
Primary
OP60344220
WA
Other
Enumeration date
06/16/2008
Last updated
11/14/2016
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