person
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. You can also correspond with Jackson Watson through the mailing address at 19020 33RD AVE W STE 210, LYNNWOOD, WA - 98036-4748 (mailing address contact number: 425-563-1500).

Location: 19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
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
State
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
State
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
License No.
PA61438621 (Washington)
Definition
Definition to come...
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