Individual
DR. JAMES KENNETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1590 E 13TH ST., UNIVERSITY HEALTH CENTER, EUGENE, OR 97403
(541) 346-4441
Mailing address
1590 EAST 13TH ST, EUGENE, OR 97403
(541) 346-4441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11795
OR
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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