Individual
RONALD DALE JAECKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 361-5400
(503) 566-4518
Mailing address
380 JERRIS AVE SE, SALEM, OR 97302-5278
(503) 315-2222
(503) 566-4518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20773
OR
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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