Individual
DR. MICHELLE K. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
334 NE IRVING AVE, BEND, OR 97701-4710
(541) 385-0775
Mailing address
16962 QUARTZ HILL RD, SUNRIVER, OR 97707-2212
(541) 593-1192
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1151
OR
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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