| Jesse Paulsen Md, P.s. | |
|
124 E Edgar St Seattle WA 98102-3132 | |
| (206) 809-7436 | |
| Not Available |
| Full Name | Jesse Paulsen Md, P.s. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 124 E Edgar St, Seattle, Washington |
| Authorized Official Name and Position | Jesse Paulsen (PRESIDENT) |
| Authorized Official Contact | 2068097436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Paulsen Md, P.s. 1841 23rd Ave E Seattle WA 98112-2913 Ph: (781) 608-0010 | Jesse Paulsen Md, P.s. 124 E Edgar St Seattle WA 98102-3132 Ph: (206) 809-7436 |
| NPI Number | 1568101731 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Medicare PECOS PAC ID | 0244614048 |
|---|---|
| Medicare Enrollment ID | O20220829000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568101731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jesse B Paulsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275038598 PECOS PAC ID: 2668737537 Enrollment ID: I20220722001629 |
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