Basic Information
Provider Information
NPI: 1003013426
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MICHAELSON
FirstName: JAIME
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1501 N CAMPBELL AVE
Address2: PO BOX 245078
City: TUCSON
State: AZ
PostalCode: 857245078
CountryCode: US
TelephoneNumber: 5206266636
FaxNumber:  
Practice Location
Address1: 201 16TH AVE E
Address2:  
City: SEATTLE
State: WA
PostalCode: 981125226
CountryCode: US
TelephoneNumber: 2063263000
FaxNumber: 2063262785
Other Information
ProviderEnumerationDate: 06/29/2007
LastUpdateDate: 10/02/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0000XMD60794770WAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics

No ID Information.


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