MEDICARE: JAYSON MADRIAGA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1801660451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYSON MADRIAGA PA-C

Provider Business Mailing Address
First Line	:	11582 C ST
Second Line	:
City	:	JOINT BASE LEWIS-MCCHORD, WA 98433
State	:	WA
Zip	:	98466
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-2252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	01/21/2026

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Directions to “ JAYSON MADRIAGA PA-C” Practice Location

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