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Mary Jacskon

NPI 1427961796 · on the registry since 2026

Practice

Address
232 Carolina St
Longview, WA 98632
Phone
(360) 644-9734

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-25

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