Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Jackson

Individual provider Athletic Trainer · NPI 1235929720

Jeffrey Jackson is an Athletic Trainer in Ontario, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1294 SW 4th Ave
Ontario, OR 97914-4567
Phone: (208) 414-2639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1251458524

Record details

NPI number1235929720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address744 Nw 1st Ave, Ontario, OR 97914-2204

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