Jackson, Gary Lee

Jackson, Gary Lee is an individual health care provider with primary practice located at 20595 Sw Tv Hwy #102 Ste 102, Aloha OR 97006. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Gary Lee can be contacted via phone (503) 642-9910.

Contact Information

Primary practice address
20595 Sw Tv Hwy #102 Ste 102 Aloha OR 97006
Phone: (503) 642-9910
Fax: (503) 848-2207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2095 Oregon

Profile Details

NPI number 1447237839
LBN Legal business name Jackson, Gary Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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