Search › Washington › 207Q00000X
Grant Jackson, MD
NPI 1306901475 · on the registry since 2006
Practice
- Address
- 319 E Pioneer Ave
Grant W Jackson Md Ps
Montesano, WA 98563 - Phone
- (360) 249-1980
- Fax
- (360) 249-1993
- Organisation at this address
- Kgp Llc
Grant W Jackson Md Ps
Grays Harbor Community Hospital
Grays Harbor Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
207Q00000X - Licence states on file
- PA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington