Dr. CODY JACKSON DMD
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1538739735- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 8660 SW SCHOLLS FERRY RD, BEAVERTON, OR, 970086621
- Phone
- (503) 616-9177
Specialties & Taxonomies
Dentist
Primary License: OR #D11459