Dr. LESLIE W JACKSON MD
Individual Provider (NPI-1)
Active
Internal Medicine, Rheumatology
Provider Information
- NPI Number
1972690774- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 710 SUNSET DR, LA GRANDE, OR, 978501200
- Phone
- (541) 663-3000
- Fax
- (541) 975-5115
Specialties & Taxonomies
Internal Medicine, Rheumatology
License: NC #9300627
Internal Medicine, Rheumatology
License: ID #m-11620
Internal Medicine, Rheumatology
Primary License: OR #MD156467