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

Keira Jack

Individual provider Physician Assistant · NPI 1780170399

Keira Jack is a Physician Assistant in Seattle, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1701 18th Ave S
Seattle, WA 98144-4317
Phone: (253) 833-7444
Show map & directions

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

Additional practice locations (1)

  • 777 Bannock St, Denver, CO 80204-4507 — (303) 436-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA61041267 (WA)

Record details

NPI number1780170399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020
Mailing address1701 18th Ave S, Seattle, WA 98144-4317

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