Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Medical Clinic LLC

Organization Family Medicine Physician · NPI 1144680240

Jackson Medical Clinic LLC provides Family Medicine Physician services in Seattle, Washington. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 S Jackson St Ste 27
Seattle, WA 98144-2026 Not confirmed with CMS for 10 years — call before visiting
Phone: (206) 324-8469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1144680240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Pham — Md · (206) 324-8469
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016
Mailing address1200 S Jackson St, Suite 27, Seattle, WA 98144-2026

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