Individual
SUSAN VARNER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3223 1ST AVE S, SUITE C, SEATTLE, WA 98134-1850
(206) 624-3651
(206) 624-2391
Mailing address
18323 BOTHELL EVERETT HWY, SUITE 220, BOTHELL, WA 98012-5246
(425) 806-5700
(425) 806-5701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004092
WA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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