Individual
FRANK KENNETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
711 S COWLEY ST STE 224, SPOKANE, WA 99202-1330
(509) 473-6706
(509) 473-6704
Mailing address
PO BOX 469, SPOKANE, WA 99210-0469
(509) 473-6706
(509) 473-6704
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP60742174
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2013
Last updated
11/13/2017
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