What is Waverly Jackson's NPI number?

Waverly Jackson's National Provider Identifier (NPI) is 1811838808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Waverly Jackson's specialty?

Waverly Jackson is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Waverly Jackson located?

Waverly Jackson's practice location on file with NPPES is 4085 M St, Washougal, WA 98671-8977.

What is Waverly Jackson's phone number?

The practice phone number listed in the NPPES registry for Waverly Jackson is (360) 904-5192.

Is Waverly Jackson's NPI active?

Yes — Waverly Jackson's NPI (1811838808) is active in the NPPES registry as of the last update on 2026-04-02.

IndividualActive

Waverly Jackson

NPI 1811838808 · Athletic Trainer · Washougal, WA

Waverly Jackson is a Athletic Trainer provider in Washougal, WA (NPI 1811838808).

Provider details

NPI number: 1811838808
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Athletic TrainerPrimary2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4085 M St

Washougal, WA 98671-8977

Phone: (360) 904-5192

Street-level locationGet directions

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Mailing address