Individual
DR. AMI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3619 PACIFIC AVE, TACOMA, WA 98418-7921
(253) 798-6494
Mailing address
3619 PACIFIC AVE, TACOMA, WA 98418-7921
(537) 986-4942
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
OP61585845
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
04/04/2025
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