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JACKSON MEDICAL CLINIC LLC
NPI 1144680240
Family Medicine in Seattle, WA

Active since March 02, 2016
1200 S JACKSON ST, SUITE 27, SEATTLE, WA 98144(206) 324-8469 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON MEDICAL CLINIC LLC (NPI 1144680240) is a healthcare organization registered as a family medicine in Seattle, Washington and active in the NPI registry since March 2016. The organization lists David Pham, Md, as its authorized official.

NPPES Registry Identity

NPI1144680240
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON MEDICAL CLINIC LLC
Location Address1200 S JACKSON ST, SUITE 27Seattle, WA 98144-2026
Mailing Address1200 S Jackson St, Suite 27Seattle, WA 98144-2026 · (206) 324-8469
Phone(206) 324-8469
Organization SubpartNo
Authorized OfficialDavid PhamMd · (206) 324-8469
Enumeration DateMarch 2, 2016
✔ NPI 1144680240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 S JACKSON ST, Seattle, WA 98144
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Other Identifiers 3

Medicare UPINE34172WA
Medicaid1032648WA
Medicare PIN000106841WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THAO THANH VUONG M.D
General Practice
1200 S JACKSON ST, STE 24
SEATTLE, WA 98144
King County (206) 329-1728
KING PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1200 S JACKSON ST, STE 2
SEATTLE, WA 98144
King County (206) 328-6101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Medical Clinic LLC's NPI number?

The NPI number for Jackson Medical Clinic LLC is 1144680240. It was assigned to this organization in the NPPES registry on March 2, 2016.

Where is Jackson Medical Clinic LLC located?

Jackson Medical Clinic LLC is located at 1200 S Jackson St Suite 27, Seattle, WA 98144. The listed phone number is (206) 324-8469.

What is Jackson Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jackson Medical Clinic LLC was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.