Individual
DR. JACKSON S HORSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 962-9841
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00017261
WA
Other
Enumeration date
07/05/2006
Last updated
07/11/2007
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