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Mr. Jackson Watson
Medical Physician Assistant in Lynnwood, Washington
NPI 1124696653

Jackson Watson is a Medical Physician Assistant based in Lynnwood, WA and is specialized in Medical. Jackson Watson practices in Lynnwood, WA. The NPI Number for Jackson Watson is 1124696653 and holds a License No. PA61438621 (Washington).

The current practice location address for Jackson Watson is 19020 33Rd Ave W Ste 210, Lynnwood, WA and can be reached out via phone at 425-563-1500 and via fax at 425-563-1374.

Location: 19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124696653
Provider Name
Jackson Watson
Credential
Provider Entity Type
Individual
Gender
Male
Address
19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1374
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2254430 05 WA
institution
Provider Business Practice Location Address Details
Address
19020 33Rd Ave W Ste 210
City
Lynnwood
State
Washington
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1374
person
Provider Business Mailing Address Details
Address
19020 33Rd Ave W Ste 210
City
Lynnwood
State
Washington
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1374
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA61438621 (Washington)
Definition
Definition to come...
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