Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared Bozeman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447614995

Jared Bozeman is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Practices as a sole proprietor. Licensed in Montana.

Licensed in
MT
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1959 NE Pacific St Box 356560
Seattle, WA 98195-6560
Phone: (206) 543-6577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MED-PHYS-LIC-81166 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447614995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address1959 Ne Pacific St, Box 356560, Seattle, WA 98195-6560

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