Jeffrey Jackson

Athletic Trainer · Ontario, OR

Individual Active NPI

NPI number 1235929720

Practice location

1294 SW 4TH Ave
Ontario, OR 97914-4567
Phone
(208) 414-2639

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NPI record

NPI
1235929720
Entity type
Individual (Type 1)
Enumeration date
May 8, 2025
Last updated
May 9, 2025
Certified
May 9, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1251458524 —

Mailing address

744 NW 1st Ave
Ontario, OR 97914-2204
Phone
(208) 514-7624

About Jeffrey Jackson

Jeffrey Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1294 SW 4TH Ave, Ontario, OR 97914-4567. The NPI number 1235929720 was assigned on May 8, 2025 and the record was last updated on May 9, 2025.

Jeffrey Jackson lists a license in the registry: #1251458524 for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey Jackson?

The NPI number is 1235929720.

What is the phone number of Jeffrey Jackson?

The phone number listed for the practice location is (208) 414-2639.

Where is Jeffrey Jackson located?

1294 SW 4TH Ave, Ontario, OR 97914-4567.

What is the taxonomy code for Jeffrey Jackson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

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.

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