| Mr Donald L Jackson, PA C | |
|
840 S Meyers St, Kettle Falls, WA 99141 | |
| (509) 738-6607 | |
| (509) 738-4180 |
| Full Name | Mr Donald L Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 840 S Meyers St, Kettle Falls, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073501177 | NPI | - | NPPES |
| 8118986 | Medicaid | WA | |
| 127584 | Other | L & I | |
| 8935341 | Other | L & I CRIME VICTIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10001811 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald L Jackson, PA C Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Mr Donald L Jackson, PA C 840 S Meyers St, Kettle Falls, WA 99141 Ph: (509) 738-6607 |
Steven Tingey, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-685-7848 | |
Kerry A Michaelis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 S Meyers St, Kettle Falls, WA 99141 Phone: 509-685-7848 Fax: 509-684-5817 |