Alycia Jackson, M.D

NPI 1568807410 · on the registry since 2013

Practice

Address: 9290 Se Sunnybrook Blvd
#120
Clackamas, OR 97015
Phone: (503) 215-2110
Fax: (503) 215-2115
Organisation at this address: Providence Health & Services Oregon
Providence Health & Services Oregon
Providence Health & Services - Oregon
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207Q00000X
Licence states on file: OR, CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-08

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