Search › Oregon › 207RP1001X
Peter Jackson, M.D
NPI 1598054132 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2222 Nw Lovejoy St
#411
Portland, OR 97210 - Phone
- (503) 413-5702
- Fax
- (503) 413-6499
- Organisation at this address
- C.Todd Woolley Md Pc
Lester M Baskin Md Pc
Larry R. Thomas Md Llc
Samuel G Shiley Md Llc
Lovejoy Opticians Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 104
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 390200000X
207RC0200X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-12
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