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

Mr. Jackson Watson

Individual provider Medical Physician Assistant · NPI 1124696653

Mr. Jackson Watson is a Physician Assistant in Lynnwood, Washington. Graduated from Mercer University School of Medicine in 2021, 5 years ago. Practices with Radia Inc P S, a 274-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Trained at
Mercer University School of Medicine
Licensed in
WA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1374
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3102 Colby Ave, Everett, WA 98201-4025 — (425) 258-8110

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61438621 (WA)

Record details

NPI number1124696653
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Radia Inc P S — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lynnwood