Individual
RYAN CHRISTOPHER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 BRIGHTON AVE, PORTLAND, ME 04102-2363
(207) 662-0111
(207) 662-8133
Mailing address
335 BRIGHTON AVE, PORTLAND, ME 04102-2363
(207) 662-0111
(207) 662-8133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD20548
ME
Other
Enumeration date
05/16/2013
Last updated
03/13/2025
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