Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON COOPER BUGG, BLS
Active Sole ProprietorJACKSON COOPER BUGG, BLS is a Emergency Medical Services healthcare provider located in SEDRO WOOLLEY, Washington. NPI 1538039375 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · SEDRO WOOLLEY, WA
Registration Details
- NPI Number
- 1538039375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2025 (0.79096312971299 yrs)
- Last Updated
- Nov 7, 2025
- License
-
B78FCB (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23603 OLD DAY CREEK RDSEDRO WOOLLEY, WA, 982847792Browse WA providers · Browse ZIP 98284
- Phone
- 5649004511
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.