MEDICARE: CRAIG JAFFE 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
1	2084P0802X	Addiction Psychiatry Physician	MD00042565	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8862439	OTHER	WA	HARBORVIEW MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1962583609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG JAFFE MD

Provider Business Mailing Address
First Line	:	500 5TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2332
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 5TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2332
Country	:	US
Telephone Number	:	206-477-6350
Fax Number	:	206-296-1771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/03/2023

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Directions to “ CRAIG JAFFE MD” Practice Location

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