Individual
AMANDA PRICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2830 CRESCENT AVE, EUGENE, OR 97408-7397
(541) 686-9000
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD219154
OR
207Q00000X
Family Medicine Physician
Primary
MD45776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091558
—
WA
Enumeration date
08/05/2006
Last updated
09/25/2025
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