Healthcare Provider Details

I. General information

NPI: 1801472246
Provider Name (Legal Business Name): ROBERT GENTRY JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 E YESLER WAY
SEATTLE WA
98122-5959
US

IV. Provider business mailing address

125 16TH AVE E # CHS545
SEATTLE WA
98112-5211
US

V. Phone/Fax

Practice location:
  • Phone: 206-299-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD94957417
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: