Individual
KATHERINE MARIE JACKSON
Active
Individual
KATHERINE MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.MD.61596450
WA
208600000X
Surgery Physician
MD61596450
WA
2086X0206X
Surgical Oncology Physician
Primary
MD.MD.61596450
WA
2086X0206X
Surgical Oncology Physician
Primary
MD61596450
WA
Other
Enumeration date
05/27/2015
Last updated
07/17/2026
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