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

Jason Lee Blackham, MD

Individual provider Sports Medicine (Internal Medicine) Physician · NPI 1821293242

Jason Lee Blackham, MD is a Sports Medicine in Pullman, Washington. Graduated from University of Utah School of Medicine in 2003, 23 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
23
Trained at
University of Utah School of Medicine
Licensed in
ID, WA
In the registry since
2007
Specialties on file
2
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

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone: (509) 332-2828
Show map & directions

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

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence MD.MD.70131894 (WA)
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X · Licence 2981404 (ID)

Record details

NPI number1821293242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2007
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount