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

Jordan M De Lisle

Individual provider Internal Medicine Physician · NPI 1881271286

Jordan M De Lisle is an Internal Medicine in Everett, Washington. Qualified in 2021, 5 years ago. Practices with Pacmed Clinics, a 212-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
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Practice location Address checks out

1321 Colby Ave Ste B400
Everett, WA 98201-1665
Phone: (425) 297-5234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OP61570577 (WA)

Record details

NPI number1881271286
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pacmed Clinics — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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