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NPI Code Detail

MEDICARE: DR. REBECCA KRUSE-JARRES M.D.

MEDICARE: DR. REBECCA KRUSE-JARRES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician024803LA
2207RH0003XHematology & Oncology Physician60461062WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720171937
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA KRUSE-JARRES M.D.
Provider Business Mailing Address
First Line : 701 PIKE ST STE 1900
Second Line :
City : SEATTLE
State : WA
Zip : 98101-3932
Country : US
Telephone Number : 206-689-6507
Fax Number : 206-689-8341
Provider Business Practice Location Address
First Line : 701 PIKE ST STE 1900
Second Line :
City : SEATTLE
State : WA
Zip : 98101-3932
Country : US
Telephone Number : 206-614-1128
Fax Number : 206-614-1170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 05/04/2026

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