Search › Washington › 207L00000X
Immanuel Jacquez, MD
NPI 1366806879 · on the registry since 2016
Practice
- Address
- 1959 Ne Pacific St Box 356410
Seattle, WA 98195 - Phone
- (559) 901-1335
- Clinicians at this address
- 18
Additional practice sites
- 1130 W Michigan St # Fh204, Indianapolis, IN
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington