Jackson, Lauren

Jackson, Lauren is an individual health care provider with primary practice located at 2830 Crescent Ave , Eugene OR 97408-7397. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jackson, Lauren can be contacted via phone (541) 686-9000.

Contact Information

Primary practice address
2830 Crescent Ave Eugene OR 97408-7397
Phone: (541) 686-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2490 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2490 Oklahoma

Profile Details

NPI number 1912396086
LBN Legal business name Jackson, Lauren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2015
Last updated Sep 25th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1912396086 NPPES
Oklahoma MEDICAID 200572730A

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