Larry a. Jackson, MD PC

General Practice Physician · Springfield, OR

Organization Active NPI

NPI number 1134565849

Practice location

1717 Centennial Blvd
Suite 7
Springfield, OR 97477-3378
Phone
(541) 726-0550
Fax
(541) 726-7485

Open in Google Maps

NPI record

NPI
1134565849
Entity type
Organization (Type 2)
Enumeration date
May 21, 2013
Last updated
May 21, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 08513 OR

Authorized official

Name
Dr. Larry Arthur Jackson, MD
Title
President
Phone
(541) 726-0550

About Larry a. Jackson, MD PC

Larry a. Jackson, MD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1717 Centennial Blvd, Suite 7, Springfield, OR 97477-3378. The NPI number 1134565849 was assigned on May 21, 2013 and the record was last updated on May 21, 2013.

Larry a. Jackson, MD PC lists a license in the registry: #08513 (OR) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Larry Arthur Jackson, MD, President.

Frequently asked questions

What is the NPI number of Larry a. Jackson, MD PC?

The NPI number is 1134565849.

What is the phone number of Larry a. Jackson, MD PC?

The phone number listed for the practice location is (541) 726-0550.

Where is Larry a. Jackson, MD PC located?

1717 Centennial Blvd, Suite 7, Springfield, OR 97477-3378.

What is the taxonomy code for Larry a. Jackson, MD PC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Physician providers in Springfield

All General Practice Physician providers in Springfield, OR →