Larry A. Jackson, MD PC
Larry A. Jackson, MD PC is a General Practice Physician in Springfield, Oregon. Licensed in Oregon. Registered with an NPI since 2013.
- Licensed in
- OR
- In the registry since
- 2013
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1717 Centennial Blvd Ste 7Springfield, OR 97477-3378
Phone: (541) 726-0550
Fax: (541) 726-7485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 08513 (OR) |
|---|
Record details
| NPI number | 1134565849 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Jackson — President · (541) 726-0550 |
| NPI enumerated | May 21, 2013 |
| Last updated in NPPES | May 21, 2013 |
| Mailing address | 1717 Centennial Blvd, Suite 7, Springfield, OR 97477-3378 |
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