DR. MICHAEL JACKSON, M.D.
Family Medicine
Active
Individual
NPI: 1043239429
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 0019523 (WA) |
Frequently Asked Questions
NPI 1043239429 is the National Provider Identifier for DR. MICHAEL JACKSON, M.D., a Family Medicine provider located in University Place, WA. This NPI was enumerated on July 18, 2006.
DR. MICHAEL JACKSON, M.D. practices at 5350 ORCHARD ST W, SUITE 202, University Place, WA 98467.
Quick Facts
- NPI
- 1043239429
- Type
- Individual
- Enumerated
- Jul 18, 2006
- Last Updated
- Mar 18, 2014
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DAVID GERECKE, CPO, FAAOP
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DAWN CUTHBERTSON, LICSWA
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ERIN ERAMIA, LMHC
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