Active NPI 1720465933 Individual Practitioner Male Practitioner

Dr. Jake Walker Sharp , MD

Radiology - Diagnostic Radiology • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jake Sharp, MD is a certified Radiology - Diagnostic Radiology practicing in Salem, OR. With approximately 11 years of clinical experience since graduating from Loma Linda University School Of Medicine in 2015, Dr. Sharp delivers high-quality medical care to the local community at 2925 RYAN DR SE.

Dr. Sharp maintains professional affiliations with Salem Radiology Consultants Pc, Pacific Imaging Associates Llc, Salem Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of chest, 1 view, injection, gadobutrol, 0.1 ml, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2925 Ryan Dr Se

Salem, OR 973019687

Telephone 5033991262

Fax 5033710777

Associated Practice Facility / Clinic

🏢 Salem Imaging Llc Facility NPI 1114978418

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Salem, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -15.3 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

28 Specialists

Practicing in Salem, OR (548 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sharp (11 Years) 11 Yrs

Salem Specialty Average (26.3 Years) 26.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	415	344	$30.00	$7.90
A9585 Injection, gadobutrol, 0.1 ml	399	22	$3.64	$0.33
71046 X-ray of chest, 2 views	258	250	$40.00	$9.82
70450 Ct scan head or brain without contrast	169	165	$140.00	$36.80
77067 Screening mammography	152	152	$120.00	$33.45
77063 Screening digital tomography of both breasts	152	152	$90.00	$26.28
74177 Ct scan of abdomen and pelvis with contrast	110	108	$290.00	$79.72
77067 Screening mammography	104	104	$389.44	$113.65
77063 Screening digital tomography of both breasts	102	102	$154.20	$46.92
73502 X-ray of hip, 2-3 views	73	69	$40.00	$10.16
72100 X-ray of lower and sacral spine, 2-3 views	73	69	$40.00	$10.11
76770 Complete ultrasound scan behind abdominal cavity	65	64	$120.00	$32.17
72125 Ct scan of upper spine without contrast	63	62	$190.00	$43.78
74018 X-ray of abdomen, 1 view	48	43	$30.00	$8.20
71046 X-ray of chest, 2 views	48	47	$89.88	$27.63
73030 X-ray of shoulder, minimum of 2 views	47	42	$30.00	$8.46
71260 Ct scan of chest with contrast	46	45	$200.00	$49.47
71275 Ct scan of blood vessels of chest with contrast	46	46	$310.00	$79.75
76705 Limited ultrasound scan of abdomen	41	40	$100.00	$25.84
71250 Ct scan of chest without contrast	40	39	$190.00	$47.63
74176 Ct scan of abdomen and pelvis without contrast	39	38	$280.00	$76.27
72170 X-ray of pelvis, 1-2 views	33	33	$30.00	$7.93
73564 X-ray of knee, 4 or more views	33	27	$40.00	$10.52
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	32	32	$100.00	$26.64
76700 Ultrasound of abdomen	30	29	$130.00	$34.85
73562 X-ray of knee, 3 views	29	29	$30.00	$8.56
73130 X-ray of hand, minimum of 3 views	29	28	$30.52	$7.95
73630 X-ray of foot, minimum of 3 views	29	27	$30.00	$7.42
77065 Diagnostic mammography of 1 breast	26	24	$130.00	$36.10
76700 Ultrasound of abdomen	26	26	$427.15	$106.64
76642 Limited ultrasound scan of 1 breast	26	26	$93.46	$31.65
73030 X-ray of shoulder, minimum of 2 views	25	23	$87.12	$30.62
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$107.67	$35.86
70496 Ct scan of blood vessels of head with contrast	24	24	$290.00	$77.43
73130 X-ray of hand, minimum of 3 views	23	17	$86.65	$24.58
70498 Ct scan of blood vessels of neck with contrast	23	23	$290.00	$74.15
77049 Mri of both breasts with and without contrast	22	21	$1189.64	$335.74
73610 X-ray of ankle, minimum of 3 views	21	21	$30.00	$7.92
73590 X-ray of lower leg, 2 views	21	20	$30.00	$7.28
73630 X-ray of foot, minimum of 3 views	21	18	$97.67	$32.29
70551 Mri scan of brain without contrast	21	21	$250.00	$64.42
76536 Ultrasound of head and neck	20	20	$90.00	$25.10
73564 X-ray of knee, 4 or more views	19	14	$125.42	$44.47
76770 Complete ultrasound scan behind abdominal cavity	19	19	$368.53	$92.76
74420 Imaging of urinary tract	19	19	$60.00	$22.84
77066 Diagnostic mammography of both breasts	18	18	$160.00	$44.55
73110 X-ray of wrist, minimum of 3 views	17	16	$30.88	$7.94
76536 Ultrasound of head and neck	17	17	$345.59	$93.75
72040 X-ray of upper spine, 2-3 views	17	14	$40.00	$9.84
73560 X-ray of knee, 1-2 views	17	15	$30.00	$7.60
71271 Low dose ct scan of chest for lung cancer screening	16	16	$170.00	$47.63
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$1359.06	$345.13
72050 X-ray of upper spine, 4 or 5 views	16	16	$50.00	$11.59
72110 X-ray of lower and sacral spine, minimum of 4 views	15	15	$50.00	$11.79
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	15	15	$177.47	$45.92
74177 Ct scan of abdomen and pelvis with contrast	14	13	$1062.00	$282.43
73552 X-ray of thigh bone, minimum 2 views	14	14	$30.00	$8.24
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	14	14	$70.00	$30.60
71271 Low dose ct scan of chest for lung cancer screening	13	13	$491.38	$132.82
76856 Complete ultrasound scan of pelvis	13	13	$110.00	$30.44
71260 Ct scan of chest with contrast	13	12	$879.69	$126.95
74018 X-ray of abdomen, 1 view	13	12	$81.77	$28.54
73080 X-ray of elbow, minimum of 3 views	11	11	$30.00	$7.92
73620 X-ray of foot, 2 views	11	11	$30.00	$6.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,388	13	$0.24	$0.15
71045 X-ray of chest, 1 view	280	245	$30.00	$8.06
71046 X-ray of chest, 2 views	250	244	$40.00	$9.71
77063 Screening digital tomography of both breasts	179	179	$90.00	$26.10
77067 Screening mammography	179	179	$120.00	$32.91
70450 Ct scan head or brain without contrast	156	146	$140.00	$36.42
74177 Ct scan of abdomen and pelvis with contrast	114	112	$290.00	$80.38
72100 X-ray of lower and sacral spine, 2-3 views	80	77	$40.00	$10.01
77067 Screening mammography	75	75	$397.16	$115.95
77063 Screening digital tomography of both breasts	75	75	$151.60	$48.16
76770 Complete ultrasound scan behind abdominal cavity	67	65	$120.00	$32.08
72125 Ct scan of upper spine without contrast	61	61	$190.00	$43.14
71275 Ct scan of blood vessels of chest with contrast	49	49	$310.00	$79.52
71260 Ct scan of chest with contrast	44	43	$200.00	$49.38
74176 Ct scan of abdomen and pelvis without contrast	42	42	$280.00	$76.58
73502 X-ray of hip, 2-3 views	40	38	$40.00	$9.98
74018 X-ray of abdomen, 1 view	38	36	$30.00	$8.12
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	37	37	$100.00	$26.76
76705 Limited ultrasound scan of abdomen	36	35	$100.00	$25.86
77065 Diagnostic mammography of 1 breast	35	34	$130.00	$35.61
71250 Ct scan of chest without contrast	35	35	$190.00	$46.77
71046 X-ray of chest, 2 views	35	35	$70.23	$24.81
73030 X-ray of shoulder, minimum of 2 views	34	33	$30.00	$8.41
73630 X-ray of foot, minimum of 3 views	28	28	$30.00	$7.46
76700 Ultrasound of abdomen	28	28	$130.00	$34.72
76642 Limited ultrasound scan of 1 breast	27	27	$93.33	$31.35
72170 X-ray of pelvis, 1-2 views	25	23	$30.00	$7.75
76536 Ultrasound of head and neck	24	23	$90.00	$24.60
74177 Ct scan of abdomen and pelvis with contrast	23	23	$1027.09	$298.91
76770 Complete ultrasound scan behind abdominal cavity	23	23	$372.61	$96.47
72040 X-ray of upper spine, 2-3 views	22	21	$40.00	$10.08
73564 X-ray of knee, 4 or more views	20	18	$41.00	$10.35
72050 X-ray of upper spine, 4 or 5 views	19	19	$50.00	$12.18
77066 Diagnostic mammography of both breasts	18	18	$160.00	$44.03
73560 X-ray of knee, 1-2 views	18	16	$30.00	$7.44
70551 Mri scan of brain without contrast	18	18	$250.00	$64.03
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	17	17	$164.00	$50.01
70498 Ct scan of blood vessels of neck with contrast	17	17	$290.00	$74.56
74420 Imaging of urinary tract	17	17	$60.00	$21.67
76700 Ultrasound of abdomen	16	16	$386.00	$98.29
73130 X-ray of hand, minimum of 3 views	16	15	$30.00	$7.79
73630 X-ray of foot, minimum of 3 views	16	13	$80.00	$29.78
73130 X-ray of hand, minimum of 3 views	15	11	$70.53	$26.21
70496 Ct scan of blood vessels of head with contrast	15	15	$290.00	$76.86
73562 X-ray of knee, 3 views	14	14	$30.00	$8.36
73110 X-ray of wrist, minimum of 3 views	14	13	$30.00	$7.80
73522 X-ray of both hips, 3-4 views	14	13	$50.00	$13.09
73552 X-ray of thigh bone, minimum 2 views	13	13	$30.00	$8.05
71271 Low dose ct scan of chest for lung cancer screening	12	12	$538.00	$135.27
71271 Low dose ct scan of chest for lung cancer screening	12	12	$170.00	$46.58
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$97.58	$36.26
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$50.00	$11.51
73502 X-ray of hip, 2-3 views	11	11	$106.00	$38.91
74176 Ct scan of abdomen and pelvis without contrast	11	11	$618.00	$180.65
77066 Diagnostic mammography of both breasts	11	11	$501.27	$148.73
76642 Limited ultrasound scan of 1 breast	11	11	$282.36	$80.63
72070 X-ray of middle spine, 2 views	11	11	$40.00	$9.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,200	21	$0.24	$0.12
A9585 Injection, gadobutrol, 0.1 ml	478	13	$1.54	$0.33
71045 X-ray of chest, 1 view	270	245	$30.11	$8.70
71046 X-ray of chest, 2 views	266	261	$40.00	$10.38
77063 Screening digital tomography of both breasts	203	203	$90.00	$28.66
77067 Screening mammography	202	202	$120.00	$35.84
70450 Ct scan head or brain without contrast	167	165	$140.00	$38.64
77067 Screening mammography	165	165	$375.35	$121.19
77063 Screening digital tomography of both breasts	164	164	$148.73	$50.36
74177 Ct scan of abdomen and pelvis with contrast	113	111	$290.00	$85.10
72100 X-ray of lower and sacral spine, 2-3 views	101	99	$40.00	$10.66
76770 Complete ultrasound scan behind abdominal cavity	80	79	$120.00	$34.63
72125 Ct scan of upper spine without contrast	63	63	$190.00	$46.40
77065 Diagnostic mammography of 1 breast	59	53	$130.00	$38.29
71275 Ct scan of blood vessels of chest with contrast	55	53	$310.00	$84.35
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	50	50	$101.60	$28.68
76642 Limited ultrasound scan of 1 breast	49	47	$89.80	$32.09
73502 X-ray of hip, 2-3 views	49	49	$40.00	$10.71
76700 Ultrasound of abdomen	47	47	$130.00	$38.06
73630 X-ray of foot, minimum of 3 views	44	40	$30.68	$8.01
74018 X-ray of abdomen, 1 view	44	43	$30.00	$8.37
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	39	39	$167.79	$47.73
73030 X-ray of shoulder, minimum of 2 views	39	33	$30.00	$9.04
73130 X-ray of hand, minimum of 3 views	37	28	$30.00	$8.34
71260 Ct scan of chest with contrast	37	37	$200.00	$52.55
76642 Limited ultrasound scan of 1 breast	33	32	$270.03	$81.61
74176 Ct scan of abdomen and pelvis without contrast	32	32	$280.00	$82.06
77065 Diagnostic mammography of 1 breast	31	31	$373.35	$115.55
76705 Limited ultrasound scan of abdomen	31	31	$100.00	$27.63
73562 X-ray of knee, 3 views	30	25	$30.00	$8.64
72040 X-ray of upper spine, 2-3 views	30	23	$40.00	$10.74
76536 Ultrasound of head and neck	30	30	$90.00	$26.54
76770 Complete ultrasound scan behind abdominal cavity	30	30	$369.00	$99.02
73564 X-ray of knee, 4 or more views	30	27	$40.67	$10.56
72170 X-ray of pelvis, 1-2 views	27	27	$30.00	$8.33
71250 Ct scan of chest without contrast	27	27	$190.00	$50.37
74177 Ct scan of abdomen and pelvis with contrast	25	25	$984.92	$316.75
73610 X-ray of ankle, minimum of 3 views	23	22	$30.00	$8.35
76700 Ultrasound of abdomen	23	23	$388.70	$111.29
71046 X-ray of chest, 2 views	23	23	$78.30	$29.86
77066 Diagnostic mammography of both breasts	22	22	$160.00	$47.26
71271 Low dose ct scan of chest for lung cancer screening	22	22	$580.91	$136.81
72110 X-ray of lower and sacral spine, minimum of 4 views	20	20	$50.00	$12.44
82565 Blood creatinine level	20	20	$30.00	$5.10
70551 Mri scan of brain without contrast	18	18	$250.00	$69.50
73502 X-ray of hip, 2-3 views	17	17	$114.00	$46.07
71250 Ct scan of chest without contrast	17	17	$502.88	$122.50
70498 Ct scan of blood vessels of neck with contrast	16	16	$290.00	$79.38
73552 X-ray of thigh bone, minimum 2 views	16	15	$30.00	$8.68
73110 X-ray of wrist, minimum of 3 views	16	14	$30.00	$8.11
72050 X-ray of upper spine, 4 or 5 views	15	15	$50.00	$12.49
77066 Diagnostic mammography of both breasts	15	15	$449.07	$134.40
71271 Low dose ct scan of chest for lung cancer screening	15	15	$170.00	$50.47
71260 Ct scan of chest with contrast	15	15	$851.73	$146.21
70496 Ct scan of blood vessels of head with contrast	15	15	$290.00	$82.23
73522 X-ray of both hips, 3-4 views	14	14	$50.00	$13.40
73560 X-ray of knee, 1-2 views	14	13	$30.00	$8.01
76856 Complete ultrasound scan of pelvis	13	13	$350.92	$93.46
70450 Ct scan head or brain without contrast	13	13	$454.31	$99.91
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	12	$530.00	$150.07
76830 Ultrasound pelvis through vagina	12	12	$363.75	$111.36
73590 X-ray of lower leg, 2 views	12	12	$30.00	$7.22
76536 Ultrasound of head and neck	12	12	$312.67	$96.41
72072 X-ray of middle spine, 3 views	12	12	$40.00	$10.79
76705 Limited ultrasound scan of abdomen	11	11	$244.00	$72.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	168	168	$295.88	$94.16
77063 Screening digital tomography of both breasts	166	166	$130.84	$45.03
77067 Screening mammography	112	112	$120.00	$36.52
77063 Screening digital tomography of both breasts	112	112	$90.00	$28.95
71045 X-ray of chest, 1 view	79	71	$29.78	$8.90
71046 X-ray of chest, 2 views	72	69	$39.83	$10.54
72100 X-ray of lower and sacral spine, 2-3 views	42	38	$40.00	$10.84
76770 Complete ultrasound scan behind abdominal cavity	41	41	$120.00	$35.03
70450 Ct scan head or brain without contrast	37	35	$138.91	$40.36
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	30	30	$131.86	$44.62
76642 Limited ultrasound scan of 1 breast	29	29	$161.12	$51.71
74177 Ct scan of abdomen and pelvis with contrast	29	29	$288.67	$88.33
76700 Ultrasound of abdomen	24	24	$430.63	$118.75
77065 Diagnostic mammography of 1 breast	24	24	$248.63	$80.29
77065 Diagnostic mammography of 1 breast	24	23	$130.00	$38.18
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	23	23	$100.00	$28.95
76642 Limited ultrasound scan of 1 breast	22	21	$90.00	$32.73
76700 Ultrasound of abdomen	21	21	$130.00	$38.22
77066 Diagnostic mammography of both breasts	20	20	$356.92	$115.97
76770 Complete ultrasound scan behind abdominal cavity	19	19	$426.32	$109.69
74018 X-ray of abdomen, 1 view	19	18	$29.46	$9.07
76536 Ultrasound of head and neck	18	17	$349.56	$109.86
82565 Blood creatinine level	18	18	$30.00	$5.12
73502 X-ray of hip, 2-3 views	16	16	$39.36	$10.49
73030 X-ray of shoulder, minimum of 2 views	16	15	$29.96	$9.17
73630 X-ray of foot, minimum of 3 views	15	12	$29.75	$8.15
77049 Mri of both breasts with and without contrast	14	14	$464.69	$157.33
76536 Ultrasound of head and neck	13	13	$90.00	$27.23
73564 X-ray of knee, 4 or more views	12	11	$39.58	$10.51
74170 Ct scan of abdomen before and after contrast	12	12	$1310.00	$235.39
71250 Ct scan of chest without contrast	12	12	$502.33	$123.78
77066 Diagnostic mammography of both breasts	11	11	$160.00	$47.72
74176 Ct scan of abdomen and pelvis without contrast	11	11	$277.05	$85.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	24	24	$28.30	$9.96
70450 Ct scan head or brain without contrast	14	14	$131.90	$44.94
74018 X-ray of abdomen, 1 view	12	11	$28.30	$9.96

Medical Specialties & State Licenses

CMS Verified: 2024-01-31

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License OR MD202293

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License WA MD60876778

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500789539 (OR)

Medicaid State Provider ID

1720465933 (WA)

Hospital & Practice Group Affiliations

Portland Clinic

800 Sw 13th Ave, Portland, OR 972051902

Phone: 50322101612110

Salem Radiology Consultants Pc

2925 Ryan Dr Se, Salem, OR 973019687

Phone: 5033991262

Salem Clinic Pc

2020 Capitol St Ne, Salem, OR 973010644

Phone: 5033992424

Pacific Imaging Associates Llc

1015 Nw 22nd Ave, Portland, OR 972103025

Phone: 5034137800

Pacific Imaging Associates Llc

740 Limelight Ct Nw, Salem, OR 973043290

Phone: 5034137800

Pacific Imaging Associates Llc

24800 Se Stark St, Gresham, OR 970303378

Phone: 5034137800

Pacific Imaging Associates Llc

342 Fairview St, Silverton, OR 973811917

Phone: 9713402758

Secondary Practice Locations

825 Eastlake Ave E

Seattle, WA 981094405

Phone: 2065205000

930 Sw Abbey St

Newport, OR 973654820

Phone: 5412652244

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners

Dr. Michael Smolin , MD

Radiology - Diagnostic Radiology

NPI 1013969450

Doctor of Medicine (M.D.)

Dr. Gary Jones , MD

Radiology - Diagnostic Radiology

NPI 1053363432

Doctor of Medicine (M.D.)

Dr. Jason Hedge , MD

Radiology - Vascular & Interventional Radiology

NPI 1053721258

Doctor of Medicine (M.D.)

Lauren Hodgson , PA-C

Radiology - Vascular & Interventional Radiology

NPI 1104236371

Physician Assistant (Certified)

Dr. Thomas Cullen , MD

Radiology - Pediatric Radiology

NPI 1124347117

Doctor of Medicine (M.D.)

Madison Kerzel , PA

Physician Assistant

NPI 1144062142

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location September 17, 2021

Registered at 2925 RYAN DR SE, SALEM, OR 973019687 (Tel: 5033991262)

📍

Updated Business Mailing Address September 17, 2021

Registered at 2925 RYAN DR SE, SALEM, OR 973019687 (Tel: 5033991262)

📍

Updated Practice Location May 07, 2020

Registered at 825 EASTLAKE AVE E, SEATTLE, WA 981094405 (Tel: 2065205000)

📍

Updated Business Mailing Address May 07, 2020

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)

👤

Provider Name / Credentials Updated May 07, 2020

Recorded as JAKE SHARP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2020

Radiology (License #MD60876778 in WA)

✅

NPI Profile Active April 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2015

Registered at 747 BROADWAY, SEATTLE, WA 981224379 (Tel: 2063202000)

📍

Updated Business Mailing Address April 27, 2015

Registered at 1510 ORANGE AVE, UNIT 906, REDLANDS, CA 923731490

👤

Provider Name / Credentials Updated April 27, 2015

Recorded as JAKE SHARP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720465933

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2015

Last Update: January 31, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2925 Ryan Dr Se

Salem, OR 973019687

Phone: 5033991262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.