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

Dr. Michael Reid Jackson, MD

Individual provider Family Medicine Physician · NPI 1043239429

Dr. Michael Reid Jackson, MD is a Family Medicine Physician in University Place, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5350 Orchard St W Ste 202
University Place, WA 98467-4817
Phone: (253) 472-4444
Fax: (253) 301-4360
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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 · Licence 0019523 (WA)

Record details

NPI number1043239429
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESMarch 18, 2014
Mailing address5350 Orchard St W, Suite 202, University Place, WA 98467-4817

Other providers in University Place