LARRY A. JACKSON, MD PC
Organization (NPI-2)
Active
General Practice
Provider Information
- NPI Number
1134565849- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1717 CENTENNIAL BLVD SUITE 7, SPRINGFIELD, OR, 974773378
- Phone
- (541) 726-0550
- Fax
- (541) 726-7485
Specialties & Taxonomies
General Practice
Primary License: OR #08513