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Individual

DR. JONATHAN R SACHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 SE 172ND AVE, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1712
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3352
(360) 604-1771

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
25MA05287300
NJ
207RG0100X
Gastroenterology Physician
Primary
MD60347981
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000606653
AMERIHEALTH PERSONAL CHOI
01
000795866
PERSONAL CHOICE
01
00795866
INDEPENDENCE BC
01
042967000
AMERIHEALTH HMO
01
0453445
AETNA
01
0821011000
KEYSTONE
01
100011025
MEDICARE RR
01
10924169007
CIGNA
05
2173905
NJ
01
MES097
OXFORD
Enumeration date
07/28/2005
Last updated
07/08/2013
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