Waverly Jackson
Athletic Trainer · Washougal, WA
NPI number
1811838808
Practice location
4085 M StWashougal, WA 98671-8977
- Phone
- (360) 904-5192
NPI record
- NPI
- 1811838808
- Entity type
- Individual (Type 1)
- Enumeration date
- April 2, 2026
- Last updated
- April 2, 2026
- Certified
- April 2, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Waverly Jackson
Waverly Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4085 M St, Washougal, WA 98671-8977. The NPI number 1811838808 was assigned on April 2, 2026 and the record was last updated on April 2, 2026.
Frequently asked questions
What is the NPI number of Waverly Jackson?
The NPI number is 1811838808.
What is the phone number of Waverly Jackson?
The phone number listed for the practice location is (360) 904-5192.
Where is Waverly Jackson located?
4085 M St, Washougal, WA 98671-8977.
What is the taxonomy code for Waverly Jackson?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Washougal
- Lisa Bennett, ATC1201 39TH St