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

Waverly Jackson

Individual provider Athletic Trainer · NPI 1811838808

Waverly Jackson is an Athletic Trainer in Washougal, Washington. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4085 M St
Washougal, WA 98671-8977
Phone: (360) 904-5192
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1811838808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address4085 M St, Washougal, WA 98671-8977

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