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

Jackson Sanguily, PA

Individual provider Basic Emergency Medical Technician · NPI 1548009343

Jackson Sanguily, PA is a Basic Emergency Medical Technician in Puyallup, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado and Washington.

Licensed in
CO, WA
In the registry since
2024
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

413 29th St NE Ste I
Puyallup, WA 98372-7154
Phone: (855) 255-1750
Fax: (855) 255-0905
Show map & directions

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

Additional practice locations (1)

  • 3827 N Lafayette St, Denver, CO 80205-5089 — (303) 500-1518

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.PA.70147889 (WA)
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence Q212354 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.PA.70147889 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.PA.70147889 (WA)

Record details

NPI number1548009343
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 21, 2024
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing addressPo Box 24081, Seattle, WA 98124-0081

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