Organization
NISHA JACKSON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA STULTS (VP OF BILLING AND CONTRACTING)
(541) 930-8545
Entity
Organization
Contact information
Practice address
235 SE NORTON LN STE C, MCMINNVILLE, OR 97128-8479
(503) 225-0382
Mailing address
2040 COMMERCE DR, MEDFORD, OR 97504-9744
(541) 930-8545
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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