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Nicole Kimberly Jackson, DO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Olympia, Washington
NPI 1508188343

Nicole Kimberly Jackson is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Portland, WA. Nicole Kimberly Jackson practices in Olympia, WA and has the professional credentials of DO. The NPI Number for Nicole Kimberly Jackson is 1508188343 and holds a License No. OP60418108 (Washington).

The current practice location address for Nicole Kimberly Jackson is 525 Lilly Rd Ne Ste 200, Olympia, WA and can be reached out via phone at 360-493-4510 and via fax at 360-493-7759. You can also correspond with Nicole Kimberly Jackson through the mailing address at PO BOX 3360, PORTLAND, OR - 97208-3360 (mailing address contact number: ).

Location: 525 Lilly Rd Ne Ste 200, Olympia, WA, 97208-3360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508188343
Provider Name
Nicole Kimberly Jackson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
525 Lilly Rd Ne Ste 200, Olympia, WA, 97208-3360
Phone Number
360-493-4510
Fax Number
360-493-7759
Provider Enumeration Date
02/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OL60099734 05 WA
institution
Provider Business Practice Location Address Details
Address
525 Lilly Rd Ne Ste 200
City
Olympia
State
Washington
Zip
98506
Phone Number
360-493-4510
Fax Number
360-493-7759
person
Provider Business Mailing Address Details
Address
Po Box 3360
City
Portland
State
Oregon
Zip
97208-3360
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
OP60418108 (Washington)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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