GRANT W JACKSON MD PS NPI 1023274370

NPI Information

NPI: 1023274370
Provider Name: GRANT W JACKSON MD PS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
319 E PIONEER AVE
MONTESANO, WA
ZIP 98563
Phone: (360) 249-1980
Get Directions

GRANT W JACKSON MD PS is a family medicine in Montesano, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRANT W JACKSON MD PS NPI is 1023274370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

319 E PIONEER AVE
MONTESANO, WA
ZIP 98563-601
Phone: (360) 249-1980

The provider's authorized official is Grant Jackson .
The authorized official title is Director and has the following contact phone number (360) 249-1980.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD60002207	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »