Individual
DR. JACOB JERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2603
(253) 968-3885
Mailing address
1710 S PROGRESS RD, SPOKANE VALLEY, WA 99037-9313
(760) 646-1443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60653374
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2013
Last updated
07/12/2021
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