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 is a Family Medicine Physician 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
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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