Individual
TYLER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3300
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A195992
CA
2085R0204X
Vascular & Interventional Radiology Physician
A195992
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
04/03/2025
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