Nisha Jackson PC
Nisha Jackson PC is a Rural Health Clinic/Center in Roseburg, Oregon. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1700 NW Garden Valley Blvd Ste 201Roseburg, OR 97471-1636
Phone: (541) 930-8545
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|
Record details
| NPI number | 1629920442 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karissa Stults — Vp Of Billing And Contracting · (541) 930-8545 |
| NPI enumerated | February 12, 2026 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
| Mailing address | 2040 Commerce Dr, Medford, OR 97504-9744 |
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