Individual
VALERIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
1410 OAK ST, STE 100B, EUGENE, OR 97401-4604
(541) 636-7744
Mailing address
1410 OAK ST, STE 100B, EUGENE, OR 97401-4604
(541) 636-7744
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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