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MICHAEL R. JACKSON, M.D. P.S.
NPI 1366701849
Family Medicine in University Place, WA

Active since May 03, 2012
5350 ORCHARD ST W, SUITE 202, UNIVERSITY PLACE, WA 98467(253) 472-4444 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael R. Jackson, M.d. P.s. NPPES

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

MICHAEL R. JACKSON, M.D. P.S. (NPI 1366701849) is a healthcare organization registered as a family medicine in University Place, Washington and active in the NPI registry since May 2012. The organization lists Michael R Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1366701849
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHAEL R. JACKSON, M.D. P.S.
Location Address5350 ORCHARD ST W, SUITE 202University Place, WA 98467-4817
Mailing Address5350 Orchard St W, Suite 202University Place, WA 98467-4817 · (253) 472-4444
Phone(253) 472-4444
Organization SubpartNo
Authorized OfficialMichael R JacksonPresident · (253) 472-4444
Enumeration DateMay 3, 2012
✔ NPI 1366701849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 0019523
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.

5350 ORCHARD ST W, University Place, WA 98467
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Other Identifiers 3

Other1043239429Npi Individual
Medicaid1077510WA
Medicare UPINA05983

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

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

DR. MICHAEL REID JACKSON M.D.
Family Medicine
5350 ORCHARD ST W, SUITE 202
UNIVERSITY PLACE, WA 98467
Pierce County (253) 472-4444

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 Michael R. Jackson, M.D. P.S.'s NPI number?

The NPI number for Michael R. Jackson, M.D. P.S. is 1366701849. It was assigned to this organization in the NPPES registry on May 3, 2012.

Where is Michael R. Jackson, M.D. P.S. located?

Michael R. Jackson, M.D. P.S. is located at 5350 Orchard St W Suite 202, University Place, WA 98467. The listed phone number is (253) 472-4444.

What is Michael R. Jackson, M.D. P.S.'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 Michael R. Jackson, M.D. P.S. was last updated on May 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.