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Teresa E. Jacobs, MD, Ps

Internal Medicine, Sleep Medicine in Bellevue, WA. Organization (NPI-2).

NPI number1114106945
StatusActive
Last updated in NPPESDec 19, 2012

Details

NPI
1114106945
Entity type
Organization (NPI-2)
Legal business name
Teresa E. Jacobs, MD, Ps
Organization subpart
No
Enumeration date
Oct 29, 2007
Last updated
Dec 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RS0012X Internal Medicine, Sleep MedicineMD00029806WAYes

Practice location

1380 112th Ave Ne Ste 307
Bellevue, WA 98004-3759

Phone 425-278-2250 · Fax 425-562-5885

Mailing address

Po Box 5593
Belfast, ME 04915-5500

Phone 425-278-2250 · Fax 425-562-5885

Authorized official

Teresa Ellen Jacobs
President
4252782250

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