Individual
DR. SHARI MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00046779
WA
2085R0202X
Diagnostic Radiology Physician
4301501562
MI
2085R0202X
Diagnostic Radiology Physician
MD00046779
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD00046779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021849
—
WA
Enumeration date
08/31/2006
Last updated
01/14/2025
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