Individual
PETER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 NW LOVEJOY ST, #411, PORTLAND, OR 97210-3033
(503) 413-5702
(503) 413-6499
Mailing address
2222 NW LOVEJOY ST, #411, PORTLAND, OR 97210-3033
(503) 413-5702
(503) 413-6499
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD170303
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD170303
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2011
Last updated
05/12/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us