NPI 1851305866

Charles G Jackson, MD

Practitioner Allergy Physician Bellevue, WA

Practice location

Address: 1200 112th Ave NE Suite C-210, Bellevue, WA 98004-3732
Phone: (425) 454-2191
Fax: (425) 453-1270
Mailing address: PO Box 632, Auburn, WA 98071-0632

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence MD00014267 (WA)

Other Allergy & Immunology providers in Washington →

Registry record

NPI: 1851305866
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2006
Record last updated: 7 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.