Search › Washington › 363AM0700X
Jack Eisaman, PA-C
NPI 1356794432 · on the registry since 2016
Practice
- Address
- 9631 269th St Nw
Stanwood, WA 98292 - Phone
- (360) 629-1600
- Fax
- (360) 629-1644
- Organisation at this address
- Safe Harbor Free Clinic
Safe Harbor Free Clinic
Skagit Valley Medical Center
Public Hospital Dist No 1 Skagit
Skagit Valley Medical Center, Inc PsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 2930 Maple St, Everett, WA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington