JACKSON LEE HAVERLY (M.D.) – Psychiatry Physician, NPI 1942338785

JACKSON LEE HAVERLY (M.D.) is a healthcare provider. based in Puyallup, Washington. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 00030718 (WA). The NPI Number for JACKSON LEE HAVERLY (M.D.) is 1942338785

Main info

Male
Sole Proprietor
Name
JACKSON LEE HAVERLY (M.D.)
NPI
1942338785
Phone
(206) 286-8352
Address
10611 CANYON RD E
Enumeration Date
2 March 2007
Last Update Date
29 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JACKSON LEE HAVERLY (M.D.)

  • 10611 CANYON RD E

    PMB 322

    PUYALLUP, WA 983734256

    Phone: (206) 286-8352

    Type: Mailing

  • 22410 BENSON RD SE

    BENSON HEIGHTS REHAB CENTER

    KENT, WA 980319509

    Phone: (206) 286-8352

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98373)

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Frequently asked questions

Can I cross-check JACKSON LEE HAVERLY (M.D.) using NPI 1942338785?
NPI 1942338785 belongs to JACKSON LEE HAVERLY (M.D.); compare other details if you need extra assurance.
Is JACKSON LEE HAVERLY (M.D.) still an active registrant?
JACKSON LEE HAVERLY (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for JACKSON LEE HAVERLY (M.D.)?
At a glance, JACKSON LEE HAVERLY (M.D.) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JACKSON LEE HAVERLY (M.D.)?
Directory geography for JACKSON LEE HAVERLY (M.D.) centers on Puyallup, Washington.
Does JACKSON LEE HAVERLY (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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