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NPI Code Detail

MEDICARE: DR. MARGARET A JACOBSON MD

MEDICARE:  DR. MARGARET A JACOBSON  MD
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
1207Q00000XFamily Medicine PhysicianMD00023894WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080187553OTHERWARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28925032OTHERWALABOR & INDUSTRIES (CV)
4423898039OTHERWAGROUP HEALTH COOPERATIVE
50130097OTHERWALABOR & INDUSTRIES (REG)
61238JAOTHERWAREGENCE BLUESHIELD

General Provider Information

NPI Number : 1992746523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET A JACOBSON MD
Provider Business Mailing Address
First Line : 1115 SE 164TH AVE
Second Line : DEPT 364
City : VANCOUVER
State : WA
Zip : 98683-9324
Country : US
Telephone Number : 360-788-8222
Fax Number : 360-788-7759
Provider Business Practice Location Address
First Line : 3301 SQUALICUM PKWY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1919
Country : US
Telephone Number : 360-788-8222
Fax Number : 360-788-7759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 06/09/2015

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