Individual
JACKSON WERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPC, AAC
Contact information
Practice address
3754 W. INDIAN TRAIL RD., SPOKANE, WA 99208
(509) 328-7041
Mailing address
3754 W. INDIAN TRAIL RD., SPOKANE, WA 99208
(509) 328-7041
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60577911
DOH
WA
Enumeration date
12/19/2018
Last updated
12/19/2018
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