Individual
ANDREW JAMES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 E PIONEER STE B, PUYALLUP, WA 98372-3267
(206) 310-5912
Mailing address
8441 35TH AVE SW, SEATTLE, WA 98126-3601
(206) 310-5912
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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