Individual
JACOB B. GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, BB-1469, SEATTLE, WA 98195-6540
(206) 543-2673
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD61096929
WA
Other
Enumeration date
04/29/2015
Last updated
01/07/2021
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