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-- PETER JACKSON -- M.D.

Individual Provider (NPI-1) Active

Internal Medicine, Pulmonary Disease

Provider Information

NPI Number
1598054132
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
2222 NW LOVEJOY ST #411, PORTLAND, OR, 972103033
Phone
(503) 413-5702
Fax
(503) 413-6499

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program
Internal Medicine, Pulmonary Disease Primary License: OR #MD170303
Internal Medicine, Critical Care Medicine License: OR #MD170303

All Addresses

LOCATION

2222 NW LOVEJOY ST #411

PORTLAND, OR, 972103033

(503) 413-5702

MAILING

2222 NW LOVEJOY ST #411

PORTLAND, OR, 972103033

(503) 413-5702