Individual
DR. DANIELLE JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 MEDICAL CENTER DR STE 201, MEDFORD, OR 97504-4334
(541) 789-5710
(541) 789-5711
Mailing address
520 MEDICAL CENTER DR STE 201, MEDFORD, OR 97504-4334
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
312129
LA
208600000X
Surgery Physician
Primary
MD214803
OR
Other
Enumeration date
07/29/2014
Last updated
12/01/2025
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