Jackson L. Haverly, M.D.
Psychiatry · Kent, WA
UnclaimedM.D.NPI 1942338785
- Primary taxonomy
- 2084P0800X
- Enumerated
- 2007-03-02
- Practice location
- Kent, WA
- Last NPPES update
- 2008-07-29
State licenses
- WA · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · Physician And Surgeon LicenseSuspendedthrough 2016
“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.