Michael R. Jackson, M.D.
Family Medicine · University Place, WA
UnclaimedM.D.NPI 1043239429
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2006-07-18
- Practice location
- University Place, WA
- Last NPPES update
- 2014-03-18
State licenses
- WA · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.