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Search › Washington › 235Z00000X

Michael Jacezko

NPI 1942188735 · on the registry since 2025

Practice

Address
1660 S Columbian Way
Seattle, WA 98108
Phone
(206) 762-1010
Organisation at this address
Pshcs
Vapshcs
Seattle Vamc
Seattle Vamc
Seattle Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,046

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-21

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