Dr TERESA L JACKSON MD is a female medical professional, specializing in Addiction Medicine. She graduated in 1998.
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
1909 214TH ST SE
SUITE 110
BOTHELL
WA
980214412
Tel: 4254884988
| Npi | 1700982444 |
| Pac Id | 6002806478 |
| Professional Enrollment Id | I20180430001348 |
| Last Name | JACKSON |
| First Name | TERESA |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | ADDICTION MEDICINE |
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| Organization Legal Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Group Practice Pac Id | 7618880097 |
| Number Of Group Practice Members | 356 |
| Line 1 Street Address | 1909 214TH ST SE |
| Line 2 Street Address | SUITE 110 |
| Marker Of Address Line 2 Suppression | |
| City | BOTHELL |
| State | WA |
| Zip Code | 980214412 |
| Phone Number | 4254884988 |
| Hospital Affiliation Ccn 1 | 500084 |
| Hospital Affiliation Lbn 1 | EVERGREEN HEALTH MONROE |
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| Professional Accepts Medicare Assignment | Y |
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