Individual
MICHEAL JACE TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 MINOR AVE STE 300, SEATTLE, WA 98101-1474
(206) 320-2961
(206) 710-9047
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0071791
CO
2084P0800X
Psychiatry Physician
Primary
61645439
WA
2084P0800X
Psychiatry Physician
Primary
MD61645439
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343393
—
WA
Enumeration date
04/19/2021
Last updated
02/23/2026
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