Search › Idaho › 207Q00000X
William Jackson, M.D
NPI 1740530302 · on the registry since 2012
Practice
- Address
- 1441 Ne 10th Ave
Payette, ID 83661 - Phone
- (208) 642-9376
- Fax
- (208) 642-9279
- Organisation at this address
- Valley Family Health Care Inc
Valley Family Health Care, Inc
Valley Family Health Care, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 2327 Sw 4th Ave, Ontario, OR
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-12
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 Idaho