FREDRIC N. JACKSON MD INC PS NPI 1144248014

NPI Information

FREDRIC N. JACKSON MD INC PS is a specialist in Burien, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FREDRIC N. JACKSON MD INC PS NPI is 1144248014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16259 SYLVESTER RD SW
SUITE 404
BURIEN, WA
ZIP 98166-049
Phone: (206) 241-1818

The provider's authorized official is Fredric N Jackson .
The authorized official title is Owner and has the following contact phone number (206) 241-1818.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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