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Dean Jackson, LMP
NPI 1437431889 · on the registry since 2011 · sole proprietor
Practice
- Address
- 200 E 25th St
Vancouver, WA 98663 - Phone
- (360) 907-1109
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 173C00000X
173C00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-12
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