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

Mr. Jackson Grey Likens, PA-C

Individual provider Physician Assistant · NPI 1851075477

Mr. Jackson Grey Likens, PA-C is a Physician Assistant in Seattle, Washington. Graduated from University of Florida College of Medicine in 2019, 7 years ago. Practices with Pacific Northwest Medical Services PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida and Washington.

Years since qualifying
7
Trained at
University of Florida College of Medicine
Licensed in
FL, WA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3651 Ashworth Ave N Unit B
Seattle, WA 98103-8116
Phone: (407) 927-1656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61450103 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 9116959 (FL)

Record details

NPI number1851075477
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Pacific Northwest Medical Services Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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