person
Robert Dale Jackson, PA-S
Student in an Organized Health Care Education/Training Program in Seattle, Washington
NPI 1881076230

Robert Dale Jackson is a Student in an Organized Health Care Education/Training Program based in Seattle, WA. Robert Dale Jackson practices in Seattle, WA and has the professional credentials of PA-S. The NPI Number for Robert Dale Jackson is 1881076230 and holds a License No. PC60573205 (Washington).

The current practice location address for Robert Dale Jackson is 4311 11Th Ave Ne Ste 200, Seattle, WA and can be reached out via phone at 206-616-4001 and via fax at 206-616-3889.

Location: 4311 11Th Ave Ne Ste 200, Seattle, WA, 98105-6367
person
Provider Profile Details
NPI Number
1881076230
Provider Name
Robert Dale Jackson
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
4311 11Th Ave Ne Ste 200, Seattle, WA, 98105-6367
Phone Number
206-616-4001
Fax Number
206-616-3889
Provider Enumeration Date
06/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MR60568577 01 WA WASHINGTON STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4311 11Th Ave Ne Ste 200
City
State
Zip
98105
Phone Number
206-616-4001
Fax Number
206-616-3889
person
Provider Business Mailing Address Details
Address
4311 11Th Ave Ne Ste 200
City
State
Zip
98105
Phone Number
206-616-4001
Fax Number
206-616-3889
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
MR60568577 (Washington)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PC60573205 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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