Search › Oregon › 101YP2500X
Brian Jackson, L.P.C
NPI 1275048167 · on the registry since 2017
Practice
- Address
- 91150 Coburg Industrial Way Serenity Lane
Coburg, OR 97408 - Phone
- (541) 687-1110
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- AZ, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon