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

Rick Lee Jackson, MD

Individual provider Family Medicine Physician · NPI 1306983549

Rick Lee Jackson, MD is a Family Practice in Vancouver, Washington. Graduated from Loma Linda University School of Medicine in 1979, 47 years ago. Licensed in California, Oregon and Washington.

Years since qualifying
47
Trained at
Loma Linda University School of Medicine
Licensed in
CA, OR, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5512 NE 107th Ave
Vancouver, WA 98662-6169
Phone: (360) 892-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00019032 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 34978 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence G47036 (CA)

Record details

NPI number1306983549
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJune 25, 2010
Mailing address5512 Ne 107th Ave, Vancouver, WA 98662-6169

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Not indicated

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