Individual
ANDREW JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12025 LAKE CITY WAY NE STE B, SEATTLE, WA 98125-5331
(860) 916-4708
Mailing address
12025 LAKE CITY WAY NE STE B, SEATTLE, WA 98125-5331
(860) 916-4708
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60704271
WA
Other
Enumeration date
11/23/2016
Last updated
03/17/2018
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