Individual
MR. RICHARD ALLEN JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
KAEHLER MEMORIAL MEDICAL CLINIC, US COAST GUARD, OTIS ANGB, MA 02542
(508) 968-6713
Mailing address
5690 PEETS ST, OTIS ANGB, MA 02542-1030
(503) 504-6492
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B0415118
CA
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/14/2005
Last updated
09/11/2025
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