Individual
JACKSON COOPER BUGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BLS
Contact information
Practice address
23603 OLD DAY CREEK RD, SEDRO WOOLLEY, WA 98284-7792
(564) 900-4511
Mailing address
23603 OLD DAY CREEK RD, SEDRO WOOLLEY, WA 98284-7792
(564) 900-4511
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
B78FCB
WA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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