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

Jackson Lee Haverly, MD

Individual provider Psychiatry Physician · NPI 1942338785

Jackson Lee Haverly, MD is a Psychiatry Physician in Kent, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

22410 Benson Rd SE Benson Heights Rehab Ctr
Kent, WA 98031-9509
Phone: (206) 286-8352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 00030718 (WA)

Record details

NPI number1942338785
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESJuly 29, 2008

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