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Makenah Jackson

NPI 1578427993 · on the registry since 2025

Practice

Address
9515 Ne 104th St
Vancouver, WA 98662
Phone
(971) 331-1356

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-10

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