Search › Washington › 207Q00000X
Rick Jackson, M.D
NPI 1306983549 · on the registry since 2007
Practice
- Address
- 5512 Ne 107th Ave
Vancouver, WA 98662 - Phone
- (360) 892-2030
- Organisation at this address
- Ashbrook Medical Family Practice Ps
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- WA, OR, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-25
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