Search › Oregon › 171M00000X
Jon Jackson
NPI 1285886051 · on the registry since 2008 · sole proprietor
Practice
- Address
- 337 Fowler St
Roseburg, OR 97470 - Phone
- (541) 440-3532
- Fax
- (541) 440-3554
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
- Sex
- Male
- Record last updated
- 2015-08-10
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