Individual
DR. J. CRAIG JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL FA-2, SEATTLE, WA 98105-3900
(206) 987-2532
(206) 987-2685
Mailing address
4500 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL FA-2, SEATTLE, WA 98105-3900
(206) 987-2532
(206) 987-2685
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD00018363
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2266
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8366502
—
WA
Enumeration date
10/13/2006
Last updated
03/28/2017
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