Tyler Jacobsen, MD

NPI 1205412038 · on the registry since 2021

Practice

Address: 500 W Broadway St
Missoula, MT 59802
Phone: (406) 543-7271
Organisation at this address: Credena Health Llc
Credena Health Llc
Credena Health Llc
Missoula Radiology Pc
Western Montana Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 269

Registry record

Primary taxonomy: 207L00000X
207L00000X
Also registered as: 207L00000X
390200000X
Licence states on file: RI, MT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-30

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 Montana