Individual
DR. JACOB ANDREW SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
(503) 494-6519
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD205705
OR
2086S0102X
Surgical Critical Care Physician
MD205705
OR
2086S0102X
Surgical Critical Care Physician
Primary
V4189
TX
2086S0127X
Trauma Surgery Physician
MD205705
OR
Other
Enumeration date
06/16/2011
Last updated
01/29/2025
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