Jackson, Kathleen Anne

Jackson, Kathleen Anne is an individual health care provider with primary practice located at 147 S 52Nd Pl , Springfield OR 97478-6210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jackson, Kathleen Anne can be contacted via phone (541) 746-1166.

Contact Information

Primary practice address
147 S 52Nd Pl Springfield OR 97478-6210
Phone: (541) 746-1166
Fax: (541) 746-6736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD17495 Oregon

Profile Details

NPI number 1548236029
LBN Legal business name Jackson, Kathleen Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Dec 21st, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548236029 NPPES
Oregon MEDICAID 033147

Popular Providers