| Larry A. Jackson, Md Pc | |
|
1717 Centennial Blvd Suite 7 Springfield OR 97477-3378 | |
| (541) 726-0550 | |
| (541) 726-7485 |
| Full Name | Larry A. Jackson, Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 1717 Centennial Blvd, Springfield, Oregon |
| Authorized Official Name and Position | Larry Arthur Jackson (PRESIDENT) |
| Authorized Official Contact | 5417260550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry A. Jackson, Md Pc 1717 Centennial Blvd Suite 7 Springfield OR 97477-3378 Ph: (541) 726-0550 | Larry A. Jackson, Md Pc 1717 Centennial Blvd Suite 7 Springfield OR 97477-3378 Ph: (541) 726-0550 |
| NPI Number | 1134565849 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134565849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 08513 (Oregon) | Primary |
Eyecare Focus And Specialties Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 J St, Springfield, OR 97477 Phone: 541-726-5055 Fax: 541-747-5440 | |
G Street Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 G St, Springfield, OR 97477 Phone: 541-735-9420 Fax: 541-747-9420 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Centennial Blvd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-284-5534 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2280 Marcola Rd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 | |
J Beverly Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 18th St Ste 6, Springfield, OR 97477 Phone: 541-517-3970 Fax: 458-201-8188 | |
Dr Richard F Erpelding Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd Ste 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 |