Individual
RICHARD TERRIL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1351 FOWLER ST, RICHLAND, WA 99352-4714
(509) 946-1654
(509) 943-5652
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00023987
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00023987
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD00023987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265015
LABOR & INDUSTRY
WA
Enumeration date
02/26/2007
Last updated
08/08/2025
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