Jason Blackham, M.D.

Individual Active
NPI 1821293242
Sports Medicine (Internal Medicine) Physician Pullman, WA

Jason Blackham, M.D. holds NPI 1821293242, with a primary taxonomy of sports medicine (internal medicine) physician and a practice location in Pullman, WA. The number was issued on June 16, 2007 and the NPPES record was last updated on July 9, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Sports Medicine (Internal Medicine) Physician Primary 207RS0010X MD.MD.70131894 (WA)
Sports Medicine (Internal Medicine) Physician 207RS0010X 2981404 (ID)

Practice location

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone: (509) 332-2828

Local context

Active NPPES records list 1 provider with sports medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 7 in Washington and 494 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jason Lee Blackham
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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