DR. Michael Reid Jackson, M.D.

NPI #1043239429 in University Place, Washington

Provider Information

NPI Number: 1043239429
Entity Type: Individual
Name: DR. Michael Reid Jackson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 18, 2006
Last Updated: Mar 18, 2014

Practice Location

Address: 5350 ORCHARD ST W
Address 2: SUITE 202
City: University Place
State: Washington
ZIP Code: 98467-4817
Phone: (253) 472-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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